Jessica Rae Shaw, MS, RD, LD Valid NPI
Individual provider · Metabolic Nutrition Registered Dietitian · Oklahoma City, OK
- NPI
- 1174805147
- Type
- Individual (Type 1)
- Primary specialty
- Metabolic Nutrition Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133VN1006X
- License number
- 1644 (OK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-09-15
- Last updated
- 2016-04-14
Practice location
1000 N Lincoln Ave, Sutie 2900
Oklahoma City, OK 73104
(405) 271-3652