MS. Jessica Tilley, RD, LD

NPI #1013294255 in Owasso, Oklahoma

Provider Information

NPI Number: 1013294255
Entity Type: Individual
Name: MS. Jessica Tilley, RD, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, LD
Enumeration Date: Nov 15, 2011
Last Updated: Aug 30, 2012

Practice Location

Address: 8505 N 129TH EAST AVE
City: Owasso
State: Oklahoma
ZIP Code: 74055-7168
Phone: (918) 376-2529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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