Search › Georgia › 363L00000X
Jessica Membrillo, AGACNP-BC
NPI 1235880634 · on the registry since 2022 · sole proprietor
Practice
- Address
- 145 Riverstone Ter Ste 101
Canton, GA 30114 - Phone
- (770) 450-4807
- Organisation at this address
- Premier Neurological Care
Nova Spine And Pain Care PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia