Southard, Jennifer

Southard, Jennifer is an individual health care provider with primary practice located at 3120 S Boulevard Ste 127 , Edmond OK 73013-5308. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Southard, Jennifer can be contacted via phone (405) 960-3120.

Contact Information

Primary practice address
3120 S Boulevard Ste 127 Edmond OK 73013-5308
Phone: (405) 960-3120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1720 Oklahoma

Profile Details

NPI number 1093087355
LBN Legal business name Southard, Jennifer
Credentials MS, RD/LD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2012
Last updated Mar 3rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093087355 NPPES
Other 1093087355 NPI

Popular Providers