Jacque Ann Stedman, R.D.
Dietitian, Registered in Stillwater, OK. Individual provider (NPI-1).
NPI number1760612923
StatusActive
Last updated in NPPESFeb 11, 2025
Details
- NPI
- 1760612923
- Entity type
- Individual (NPI-1)
- Name
- Jacque Ann Stedman
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2009
- Certification date
- Feb 11, 2025
- Last updated
- Feb 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 589 | OK | Yes |
Practice location
610 S Walnut StStillwater, OK 74074-4222
Phone 405-533-3612
Mailing address
1011 14th Ave NwArdmore, OK 73401-1828
Phone 580-223-5400 · Fax 580-220-6185
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All 29 Registered Dietitian providers in Stillwater · All 1,744 providers in Stillwater
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