Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER DIANE SOUTHARD, N.D.
ActiveNaturopath · INDIALANTIC, FL
Registration Details
- NPI Number
- 1356646343
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 21, 2011 (15.287742812886 yrs)
- Last Updated
- Jan 21, 2011
- License
-
099.0074287 (VT)
Practice Information
- Address
-
105 S RIVERSIDE DRSUITE 131INDIALANTIC, FL, 329034365Browse FL providers · Browse ZIP 32903
- Phone
- 3214090044
- Fax
- 3214090099
- Primary Specialty
-
Naturopath
175F00000X
Other Naturopath Providers in INDIALANTIC, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ADAM N TICE | N.D. | 1982909974 |
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.