Individual
JONI JACKSON CHARBONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1332 WESTON DR, DECATUR, GA 30032-2551
(678) 237-5538
Mailing address
PO BOX 964, MONROE, GA 30655-0964
(888) 772-0076
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
GAA-NP001470
GA
Other
Enumeration date
07/11/2023
Last updated
09/06/2023
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