Provider Demographics
NPI:1508271057
Name:JEFFERSON, JENNIFER LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LYNN
Last Name:JEFFERSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 GENERALS HWY
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-6723
Mailing Address - Country:US
Mailing Address - Phone:410-224-7669
Mailing Address - Fax:410-224-7679
Practice Address - Street 1:2100 GENERALS HWY
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-6723
Practice Address - Country:US
Practice Address - Phone:410-224-7669
Practice Address - Fax:410-224-7679
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16192183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist