Provider Demographics
NPI:1871975078
Name:HINSON, JENNIFER BRANDEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:BRANDEE
Last Name:HINSON
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 1:1460 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHINA GROVE
Mailing Address - State:NC
Mailing Address - Zip Code:28023-8646
Mailing Address - Country:US
Mailing Address - Phone:704-855-1316
Mailing Address - Fax:704-857-5028
Practice Address - Street 1:1460 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CHINA GROVE
Practice Address - State:NC
Practice Address - Zip Code:28023-8646
Practice Address - Country:US
Practice Address - Phone:704-855-1316
Practice Address - Fax:704-857-5028
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023262183500000X
NC22383183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist