Jennifer Southard, MS, RD/LD Valid NPI
Individual provider · Registered Dietitian · Edmond, OK
- NPI
- 1093087355
- Type
- Individual (Type 1)
- Primary specialty
- Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133V00000X
- License number
- 1720 (OK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2012-02-02
- Last updated
- 2022-03-03
Practice location
3120 S Boulevard Ste 127
Edmond, OK 73013-5308
(405) 960-3120