Jennifer J. Allen, RD, LD

Individual provider Active NPI Registered Dietitian · Edmond, OK

NPI 1609201599 · NPPES record last updated Oct 22, 2014

Key facts

NPI
1609201599
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1750 (OK)
Practice address
200 N Bryant Ave
Suite 100
Edmond, OK 73034-6273
Phone
(405) 330-2363
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1750OKMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1750 OK Yes

Addresses

Primary practice location

200 N Bryant Ave
Suite 100
Edmond, OK 73034-6273

Mailing address

200 N Bryant Ave
Suite 100
Edmond, OK 73034-6273
Phone (405) 330-2363

Other names

  • Jennifer J Tolbert Former name

Other providers in Edmond, OK

All providers in Edmond, OK · Registered Dietitian in Oklahoma

Sources for this page

Verify at the official NPI Registry.