Provider Demographics
NPI:1487423489
Name:SETZER, JENNIFER LYN (PHARMD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LYN
Last Name:SETZER
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 1:3840 REDDICK RD
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:TN
Mailing Address - Zip Code:37142-2141
Mailing Address - Country:US
Mailing Address - Phone:334-669-3673
Mailing Address - Fax:
Practice Address - Street 1:2622 MADISON ST STE A
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-6549
Practice Address - Country:US
Practice Address - Phone:931-919-2491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46738183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist