Individual provider · Type 1 NPI
Jessica Rae Shaw, MS, RD, LD
Metabolic Nutrition Registered Dietitian · Oklahoma City, OK
NPI number
1174805147
Active
Practice location
1000 N Lincoln Ave, Sutie 2900
Oklahoma City, OK 73104
Fax (405) 271-7522
Mailing address
5701 N Portland Ave, Ste 125
Oklahoma City, OK 73112-1670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Metabolic Nutrition Registered Dietitian Primary | 133VN1006X | 1644 (OK) |
Metabolic Nutrition Registered Dietitian: A registered dietitian who achieves specialized competency in metabolic nutrition.
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About NPI 1174805147
Jessica Rae Shaw, MS, RD, LD's National Provider Identifier is 1174805147, issued on Sep 15, 2011. The primary taxonomy on file is Metabolic Nutrition Registered Dietitian (133VN1006X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 14, 2016.