Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER BOHANNON
ActiveChild & Adolescent Psychiatric Nurse · COVINGTON, GA
Registration Details
- NPI Number
- 1407563752
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2022 (3.49592307127 yrs)
- Last Updated
- Nov 4, 2022
- License
-
RN312495 (GA)
Practice Information
- Address
-
215 KIRKLAND RDCOVINGTON, GA, 300163318Browse GA providers · Browse ZIP 30016
- Phone
- 6782092770
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
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.