Provider Demographics
NPI:1043102932
Name:SMITHSON, JACQUELINE NICOLE (PHARMD)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:NICOLE
Last Name:SMITHSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:SMITHSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4000 MABEL DR APT 4306
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3684
Mailing Address - Country:US
Mailing Address - Phone:615-651-4658
Mailing Address - Fax:
Practice Address - Street 1:10638 CONCORD RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8875
Practice Address - Country:US
Practice Address - Phone:615-941-8879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN49063183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist