person
Jessica Rae Shaw, MS,RD,LD
Metabolic Nutrition Registered Dietitian in Oklahoma City, Oklahoma
NPI 1174805147

Jessica Rae Shaw is a Metabolic Nutrition Registered Dietitian based in Oklahoma City, OK and is specialized in Nutrition, Metabolic. Jessica Rae Shaw practices in Oklahoma City, OK and has the professional credentials of MS,RD,LD. The NPI Number for Jessica Rae Shaw is 1174805147 and holds a License No. 1644 (Oklahoma).

The current practice location address for Jessica Rae Shaw is 1000 N Lincoln Ave, Oklahoma City, OK and can be reached out via phone at 405-271-3652 and via fax at 405-271-7522. You can also correspond with Jessica Rae Shaw through the mailing address at 5701 N PORTLAND AVE, OKLAHOMA CITY, OK - 73112-1670 (mailing address contact number: 405-604-4498).

Location: 1000 N Lincoln Ave, Oklahoma City, OK, 73112-1670
person
Provider Profile Details
NPI Number
1174805147
Provider Name
Jessica Rae Shaw
Credential
MS,RD,LD
Provider Entity Type
Individual
Gender
Female
Address
1000 N Lincoln Ave, Oklahoma City, OK, 73112-1670
Phone Number
405-271-3652
Fax Number
405-271-7522
Provider Enumeration Date
09/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 N Lincoln Ave
City
State
Zip
73104
Phone Number
405-271-3652
Fax Number
405-271-7522
person
Provider Business Mailing Address Details
Address
5701 N Portland Ave
City
State
Zip
73112-1670
Phone Number
405-604-4498
Fax Number
405-604-4195
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
License No.
1644 (Oklahoma)
Definition
Definition to come...
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