NPI 1013294255

Jessica Tilley, RDLD

Practitioner Registered Dietitian Owasso, OK

Practice location

Address: 8505 N 129th East Ave, Owasso, OK 74055-7168
Phone: (918) 376-2529
Fax: (918) 376-2548

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1042 (OK)

Other Dietitian, Registered providers in Oklahoma →

Registry record

NPI: 1013294255
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2011
Record last updated: 30 Aug 2012

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.