Individual
MS. VANESSA BOLLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
512 DASHEILL LN, ATLANTA, GA 30349-1728
(732) 710-8152
Mailing address
512 DASHEILL LN, ATLANTA, GA 30349-1728
(732) 710-8152
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN264666
GA
Other
Enumeration date
01/26/2024
Last updated
03/11/2024
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