IndividualActive
Bianca Hamilton, 3B6878AE-B8D7-44F5-B
NPI 1972309995 · Sports Dietetics Nutrition Registered Dietitian · Jackson, MI
Provider details
- NPI number
- 1972309995
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- 3B6878AE-B8D7-44F5-B
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3936357 (MI)
Mailing address
163 W High St
Jackson, MI 49203
Registry dates
- Enumerated
- 2025-02-20
- Last updated
- 2025-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.