DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JESSICA LORENA BONILLA

Active Sole Proprietor

MS. JESSICA LORENA BONILLA is a Health & Wellness Coach healthcare provider located in SMITHTOWN, New York. NPI 1043613516 is currently active in the NPPES registry. Verify at CMS.

Health & Wellness Coach · SMITHTOWN, NY

Registration Details

NPI Number
1043613516
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2014 (11.90057341048 yrs)
Last Updated
May 5, 2021
License
07643 (MD)
Sole Proprietor
Yes

Practice Information

Address
156 LANDING MEADOW RD
SMITHTOWN, NY, 117871100
Browse NY providers · Browse ZIP 11787
Phone
6316266377
Primary Specialty
Health & Wellness Coach
171400000X
Additional Specialty
Health & Wellness Coach

Other Health & Wellness Coach Providers in SMITHTOWN, NY

Name Credential NPI
LAUREN BONGIORNO 1497333108
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.