MEDICARE: JESSICA SKEFFINGTON RD,LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1659024297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA SKEFFINGTON RD,LD

Provider Business Mailing Address
First Line	:	9108 MISTY LN
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73160-0410
Country	:	US
Telephone Number	:	214-504-6533
Fax Number	:

Provider Business Practice Location Address
First Line	:	9108 MISTY LN
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73160-0410
Country	:	US
Telephone Number	:	214-504-6533
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2022
Last Update Date	:	02/02/2022

Similar Medicare Providers

1285731646 — CHISAGO COUNTY COUNCIL FOR EXCEPTIONAL INDIVIDUALS, INC.
Practice Location Address:

10985 LAKE BLVD.
CHISAGO CITY, MN
55013-0410

Practice Phone: 651-257-6709
Practice Fax: 651-257-4904

1861422875 — DR. D. SCOTT DYCUS D.O.
Practice Location Address:

320 N SERVICE RD
OKLAHOMA CITY, OK
73160-4945

Practice Phone: 405-794-4474
Practice Fax: 405-793-8703

1144871450 — MARY MCCONNELL
Practice Location Address:

9116 LOLLY LN
OKLAHOMA CITY, OK
73160-0402

Practice Phone: 573-208-9080
Practice Fax:

1578288791 — FILIZ SPROUSE
Practice Location Address:

4000 SE 111TH CT
OKLAHOMA CITY, OK
73160-9303

Practice Phone: 405-519-2798
Practice Fax:

1407746977 — RED KEY WELLNESS, LLC
Practice Location Address:

1301 MAGNOLIA CT STE 113
OKLAHOMA CITY, OK
73160-1420

Practice Phone: 405-595-1115
Practice Fax:

1588516983 — LIBERTY MEDCAB LLC
Practice Location Address:

9640 KINDSEY AVE
OKLAHOMA CITY, OK
73160-9242

Practice Phone: 570-762-3328
Practice Fax:

Directions to “ JESSICA SKEFFINGTON RD,LD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.