Search › North Carolina › 133V00000X
Jennifer Bourbonnais, MED, RD, LDN
NPI 1710005608 · on the registry since 2007 · sole proprietor
Practice
- Address
- 9800 Moody Ct
Harrisburg, NC 28075 - Phone
- (248) 909-8555
- Organisation at this address
- Lifestyle Nutrition And Wellness, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 133V00000X
- Licence states on file
- MI, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina