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Contact Information

JESSICA BONILLA, FNP-C
11459 JOHNS CREEK PKWY
JOHNS CREEK, GA30097-3515
 Phone: 770-497-1555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JESSICA BONILLA · (Female)

NPI # 1922713676
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 01/17/2023
Last updated 12/18/2023 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # GAA-NP001609
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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