Provider Demographics
NPI:1063169282
Name:EARP, JESSIE LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JESSIE
Middle Name:LYNN
Last Name:EARP
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 1:300 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-2913
Mailing Address - Country:US
Mailing Address - Phone:315-781-7737
Mailing Address - Fax:
Practice Address - Street 1:300 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-2913
Practice Address - Country:US
Practice Address - Phone:315-781-7737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist