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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA RAE SHAW, MS, RD, LD

Active

JESSICA RAE SHAW, MS, RD, LD is a Metabolic Nutrition healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1174805147 is currently active in the NPPES registry. Verify at CMS.

Metabolic Nutrition · OKLAHOMA CITY, OK

Registration Details

NPI Number
1174805147
Provider Type
Individual
Gender
Female
NPI Issued
Sep 15, 2011 (14.868666760054 yrs)
Last Updated
Apr 14, 2016
License
1644 (OK)

Practice Information

Address
1000 N LINCOLN AVE
SUTIE 2900
OKLAHOMA CITY, OK, 73104
Browse OK providers · Browse ZIP 73104
Phone
4052713652
Fax
4052717522
Primary Specialty
Metabolic Nutrition
133VN1006X

Other Metabolic Nutrition Providers in OKLAHOMA CITY, OK

Name Credential NPI
LACEY BIXLER 1962783290
ASHLEY LYNN ETHRIEDGE MS, RD/LD 1558867788
NICHOLAS WAYNE BEGICK RD 1417518739
CARI HORN RD 1326640285
MRS. ANNA JANE HARRISON RD, LD 1841078979
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.