Individual provider · Type 1 NPI

Jennifer Southard, MS, RD/LD

Registered Dietitian · Edmond, OK

NPI number 1093087355 Active

Practice location

3120 S Boulevard Ste 127
Edmond, OK 73013-5308

Mailing address

10600 S Pennsylvania Ave Ste 16
Oklahoma City, OK 73170-4257

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X1720 (OK)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1093087355

Jennifer Southard, MS, RD/LD's National Provider Identifier is 1093087355, issued on Feb 2, 2012. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Edmond, OK. The record was last updated on Aug 10, 2026.