Whalio Doctors

NPI 1023839693

Jennifer Ann Widener, PHARMD

Practitioner Pharmacist Johnson City, TN

Practice location

Address
714 W Market St STE 101, Johnson City, TN 37604-5483
Phone
(423) 328-9333

Registered specialties (2)

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence 48435 (TN)
Pharmacist
Pharmacy Service Providers Taxonomy 183500000X Licence 0202222366 (VA)

Registry record

NPI
1023839693
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Oct 2024
Record last updated
17 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.