Membrillo, Jessica Diane

Membrillo, Jessica Diane is an sole proprietor health care provider with primary practice located at 145 Riverstone Ter Ste 101 , Canton GA 30114-5327. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Membrillo, Jessica Diane can be contacted via phone (770) 450-4807.

Contact Information

Primary practice address
145 Riverstone Ter Ste 101 Canton GA 30114-5327
Phone: (770) 450-4807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN259993 Georgia
Nursing Service Providers / Registered Nurse 163W00000X RN259993 Georgia

Profile Details

NPI number 1235880634
LBN Legal business name Membrillo, Jessica Diane
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2022
Last updated Oct 30th, 2023 - about last year

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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