IndividualActive
Alexis Chancellor, RD/LD
NPI 1235762600 · Registered Dietitian · Jay, OK
Provider details
- NPI number
- 1235762600
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD/LD
- Sex
- Female
- Sole proprietor
- No
- License
- 2490 (OK)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
859 E Melton Dr
Jay, OK 74346-2704
Phone: (918) 253-1744
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 350
Jay, OK 74346-0350
Registry dates
- Enumerated
- 2020-02-13
- Last updated
- 2023-09-19
- Certified
- 2023-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.