NPI
Jennica Phenide Bouquet
NPI 1962039719
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2020-03-23
- Last updated
- 2026-10-19
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Specialties
Licenses
- License GA
- 114256
Location
- Practice location
- 1920 Briarcliff Rd NE
- City
- Atlanta GA
- Postal code
- 30329-4010
- Phone
- (404) 785-8328
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Child and Adolescent Psychiatrists in Atlanta, GA. 62 with this primary taxonomy in the public file.
Other NPIs in Atlanta, GA. 39,481 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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