Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. BIANCA LEIGH HAMILTON, 3B6878AE-B8D7-44F5-B
Active Sole ProprietorSports Dietetics · JACKSON, MI
Registration Details
- NPI Number
- 1972309995
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2025 (1.1681082069789 yrs)
- Last Updated
- Aug 22, 2025
- License
-
3936357 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
163 W HIGH STJACKSON, MI, 49203Browse MI providers · Browse ZIP 49203
- Phone
- 5172404590
- Primary Specialty
-
Sports Dietetics
133VN1501X
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.