IndividualActive
Shelly Venters-Jacobs, MD
NPI 1841372349 · Addiction Medicine (Internal Medicine) Physician · Edmond, OK
Provider details
- NPI number
- 1841372349
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 18018 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
220 S Littler Ave
Edmond, OK 73034-3856
Phone: (405) 757-4643
Approximate (ZIP-level) locationGet directions
Mailing address
6424 N Portland Ave
Oklahoma City, OK 73116-2012
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2025-03-25
- Certified
- 2025-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.