NPI 1275956062

Nourish Nutrition & Diabetes LLC

Organisation Registered Dietitian Edmond, OK

Practice location

Address: 1601 S State St STE 500, Edmond, OK 73013-3698
Phone: (405) 254-6453
Fax: (405) 562-8735

Authorised official

Name: Lisa Johnston
Title: Owner and Dietitian
Phone: (405) 509-1294

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1559 (OK)

Other Dietitian, Registered providers in Oklahoma →

Registry record

NPI: 1275956062
Entity type: Organization
NPI issued: 29 Jan 2014
Record last updated: 7 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.