Individual
JENNIFER LEIGH WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSO, LD
Contact information
Practice address
800 NE 10TH ST STE 6049, OKLAHOMA CITY, OK 73104-5418
(405) 271-8001
Mailing address
800 NE 10TH ST STE 6049, OKLAHOMA CITY, OK 73104-5418
(405) 271-8001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1435
OK
133VN1301X
Oncology Nutrition Registered Dietitian
1435
OK
Other
Enumeration date
08/31/2009
Last updated
07/31/2024
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