| Doctor Name: | NICOLE CELONA-JACOBS |
| NPI Number: | 1245547389 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. R.D. CDE. |
| License Number: | |
| Business Practice Address: | 11600 W 2nd Pl Lakewood, CO - 802281527 |
| Business Phone Number: | 7203218316 |
| Business Fax Number: | 7203218301 |
| Mailing Address: | 2667 S Kline Cir, LAKEWOOD |
| State: | CO |
| Postal Code: | 802272753 |
| Phone Number: | 3032495531 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2010 |
| NPI Last Update Date: | 07/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |