Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JANNA TRACY PHIFER, RD, LDN
ActiveOncology Nutrition · DANVILLE, IL
Registration Details
- NPI Number
- 1275908048
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 4, 2015 (10.38162420314 yrs)
- Last Updated
- Feb 4, 2021
- License
-
DT85370 (TX)
Practice Information
- Address
-
1900 E MAIN STDANVILLE, IL, 618325100Browse IL providers · Browse ZIP 61832
- Phone
- 2175545395
- Fax
- 2175544828
- Primary Specialty
-
Oncology Nutrition
133VN1301X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.