Individual
JONELL BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
FNP-BC
Contact information
Practice address
2260 NORTHLAKE PKWY STE 211, TUCKER, GA 30084-4006
(770) 491-1344
Mailing address
347 WESTMINSTER DR, CANTON, GA 30114-8824
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
APRN-NP210500
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP210500
GA
Other
Enumeration date
10/17/2025
Last updated
04/06/2026
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