Provider Demographics
NPI:1962584433
Name:WARTHEN, JESSICA IVETTE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:IVETTE
Last Name:WARTHEN
Suffix:
Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:3028 W GINGER CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32259-4560
Mailing Address - Country:US
Mailing Address - Phone:904-232-2751
Mailing Address - Fax:904-232-1570
Practice Address - Street 1:1833 BOLUEVARD
Practice Address - Street 2:DEPARTMENT OF VETERANS AFFAIRS; MENTAL HEALTH CLINIC
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32206
Practice Address - Country:US
Practice Address - Phone:904-232-2751
Practice Address - Fax:904-232-1570
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPS370971835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric