Jennifer Bourbonnais, MED, RD, LDN is a
Dietitian, Registered based in Harrisburg, North Carolina. Jennifer Bourbonnais is licensed to practice in North Carolina (license number L005862) and her current practice location is
9800 Moody Ct, Harrisburg, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(248) 909-8555.
NPI number for Jennifer Bourbonnais is 1710005608 and her current mailing address is 9800 Moody Ct, Harrisburg, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710005608.
Healthcare Provider's Profile
Full Name | Jennifer Bourbonnais |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 9800 Moody Ct, Harrisburg, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710005608
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 09/21/2021
Medical Identifiers
Medical identifiers for Jennifer Bourbonnais such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710005608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 864114 (Michigan) | Secondary |
133V00000X | Dietitian, Registered | L005862 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Bourbonnais is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Bourbonnais, MED, RD, LDN 9800 Moody Ct, Harrisburg, NC 28075-6643 Ph: (248) 909-8555 | Jennifer Bourbonnais, MED, RD, LDN 9800 Moody Ct, Harrisburg, NC 28075-6643 Ph: (248) 909-8555 |
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