Jessica Diane Membrillo, AGACNP-BC

NPI #1235880634 in Canton, Georgia

Provider Information

NPI Number
1235880634
Entity Type
Individual
Name
Jessica Diane Membrillo, AGACNP-BC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
AGACNP-BC
Enumeration Date
Jan 17, 2022
Last Updated
Oct 9, 2025

Practice Location

Address
145 RIVERSTONE TER STE 101
City
Canton
State
Georgia
ZIP Code
30114-5327
Phone
(770) 450-4807

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Practitioner

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