Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL PAGE HARBISON, CDE
ActiveNutrition, Education · WINTER HAVEN, FL
Registration Details
- NPI Number
- 1407832462
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2005 (20.372695638739 yrs)
- Last Updated
- Aug 6, 2018
- License
-
ND1986 (FL)
Practice Information
- Address
-
199 AVE. B., N.W.BOND CLINIC , P.A.WINTER HAVEN, FL, 33881Browse FL providers · Browse ZIP 33881
- Phone
- 8632931191
- Fax
- 8635082213
- Primary Specialty
-
Nutrition, Education
133NN1002X
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.