Individual
DR. JENNIFER LYNN LAWRENCE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4718 LIMESTONE RD, WILMINGTON, DE 19808-1928
(302) 995-2286
Mailing address
4718 LIMESTONE RD, WILMINGTON, DE 19808-1928
(302) 995-2286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
19643
MD
183500000X
Pharmacist
28RI04414800
NJ
183500000X
Pharmacist
Primary
A1-0004052
DE
183500000X
Pharmacist
RP459115
PA
Other
Enumeration date
07/19/2010
Last updated
01/27/2025
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