Individual provider · Type 1 NPI

Jennica Phenide Bouquet

Child & Adolescent Psychiatry Physician · Atlanta, GA

NPI number 1962039719 Active

Practice location

1920 Briarcliff Rd NE
Atlanta, GA 30329-4010

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician Primary 2084P0804X114256 (GA)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1962039719

Jennica Phenide Bouquet's National Provider Identifier is 1962039719, issued on Mar 23, 2020. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Atlanta, GA. The record was last updated on Oct 19, 2026.