Adrienne Jacobs

NPI #1679608186 in Ada, Oklahoma

Provider Information

NPI Number: 1679608186
Entity Type: Individual
Name: Adrienne Jacobs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Feb 23, 2007
Last Updated: Jul 1, 2015

Practice Location

Address: 1921 STONECIPHER BLVD
City: Ada
State: Oklahoma
ZIP Code: 74820
Phone: (580) 421-4570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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