JESSICA BROOKE BOULDIN PHARMD
NPI 1881284206
Pharmacist - Ambulatory Care in Sparta, TN

Active since January 20, 2021
483 W BOCKMAN WAY, SPARTA, TN 38583(931) 836-3230 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Brooke Bouldin Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA BROOKE BOULDIN PHARMD (NPI 1881284206) is an individual ambulatory care provider in Sparta, Tennessee, licensed in Tennessee (44395) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1881284206
Entity TypeIndividualFemale
Primary Taxonomy1835P2201X
Provider Legal NameJESSICA BROOKE BOULDINCredential: PHARMD
Location Address483 W BOCKMAN WAYSparta, TN 38583-1832
Mailing Address48 Golf Club RdMcminnville, TN 37110-7838 · (931) 314-0478
Sole ProprietorNo
Enumeration DateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
NPI 1881284206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
License Licensed in TN · 44395
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
483 W BOCKMAN WAY, Sparta, TN 38583

Other Identifiers 1

Other44395TN · State Of Tennessee

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
483 W BOCKMAN WAY
SPARTA, TN 38583
Pharmacist (Ambulatory Care)
483 W BOCKMAN WAY
SPARTA, TN 38583
Pharmacist
483 W BOCKMAN WAY
SPARTA, TN 38583
Pharmacist
483 W BOCKMAN WAY
SPARTA, TN 38583
Pharmacist
483 W BOCKMAN WAY
SPARTA, TN 38583
Pharmacist
483 W BOCKMAN WAY
SPARTA, TN 38583
Pharmacist
483 W BOCKMAN WAY
SPARTA, TN 38583
Pharmacist
483 W BOCKMAN WAY
SPARTA, TN 38583

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Bouldin's NPI number?

The NPI number for Jessica Bouldin is 1881284206. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Jessica Bouldin located?

Jessica Bouldin practices at 483 W Bockman Way, Sparta, TN 38583. The listed phone number is (931) 836-3230.

What is Jessica Bouldin's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Jessica Bouldin was last updated on January 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.