Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackleen Fan

Individual provider Pharmacist · NPI 1407337306

Jackleen Fan is a Pharmacist in Evans, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018

Practice location Address checks out

4310 Washington Rd
Evans, GA 30809-3957
Phone: (706) 860-4179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH030830 (GA)

Record details

NPI number1407337306
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2018
Last updated in NPPESAugust 28, 2018
Mailing address372 Collins Glen Ct, Lawrenceville, GA 30043-6848

Other providers in Evans