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1780365205
JESSA BONAVIA
DAYTONA BEACH, FL
NPI
1780365205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN11027499)
Enumeration Date
2023-07-27
Last Update Date
2023-08-23
Business Address
JESSA BONAVIA APRN, PMHNP-BC
1220 WILLIS AVE
DAYTONA BEACH, FL 32114-2810
Phone number: 800-539-4228
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Mailing Address
JESSA BONAVIA APRN, PMHNP-BC
150 MAGNOLIA AVE
DAYTONA BEACH, FL 32114-4304
Phone number: 386-236-3225
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