Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA DIANE MEMBRILLO, AGACNP-BC
Active Sole ProprietorJESSICA DIANE MEMBRILLO, AGACNP-BC is a Nurse Practitioner healthcare provider located in CANTON, Georgia. NPI 1235880634 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · CANTON, GA
Registration Details
- NPI Number
- 1235880634
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 17, 2022 (4.5858117998019 yrs)
- Last Updated
- Oct 9, 2025
- Licenses
-
RN259993 (GA)RN259993 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
145 RIVERSTONE TER STE 101CANTON, GA, 301145327Browse GA providers · Browse ZIP 30114
- Phone
- 7704504807
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in CANTON, GA
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLY ANNE AURIEMMA | MSN | 1356329726 |
| MRS. VIDA V UMSTEAD | NP | 1366471914 |
| MS. LYNNDA JOY CAMPBELL | FNP C | 1104990258 |
| MR. VIRGIL FIGUEROA | CNP | 1689885501 |
| JESSICA ELENE ROBERTS | FNP-BC | 1265729396 |
| LAURA LOVINGGOOD EVANS | MSN, NP-C | 1386065241 |
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.