Bonilla, Jessica
Bonilla, Jessica is an sole proprietor health care provider with primary practice located at 11459 Johns Creek Pkwy , Johns Creek GA 30097-3515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bonilla, Jessica can be contacted via phone (770) 497-1555.Contact Information
Primary practice address
11459 Johns Creek Pkwy
Johns Creek GA 30097-3515
Phone: (770) 497-1555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | GAA-NP001609 | Georgia |
Profile Details
| NPI number | 1922713676 |
|---|---|
| LBN Legal business name | Bonilla, Jessica |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2023 |
| Last updated | Dec 18th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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