SHELLY L VENTERS-JACOBS MD NPI 1841372349

NPI Information

NPI: 1841372349
Provider Name: SHELLY L VENTERS-JACOBS, MD
Classification: Internal Medicine - 207RA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
6424 N PORTLAND AVE
OKLAHOMA CITY, OK
ZIP 73116
Phone: (405) 757-4643
Get Directions

Shelly L Venters-jacobs, MD is an addiction medicine internal medicine in Oklahoma City, OK. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. Shelly L Venters-jacobs, MD NPI is 1841372349. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6424 N PORTLAND AVE
OKLAHOMA CITY, OK
ZIP 73116-012
Phone: (405) 757-4643

The enumeration date for this NPI number is 10/20/2006 and was last updated on 9/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RA0401X	Internal Medicine	Addiction Medicine	18018	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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