Provider Demographics
NPI:1245547389
Name:CELONA-JACOBS, NICOLE (MS RD CDE)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:CELONA-JACOBS
Suffix:
Gender:F
Credentials:MS RD CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6725 S CROCKER WAY STE 410
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-3659
Mailing Address - Country:US
Mailing Address - Phone:720-966-9136
Mailing Address - Fax:
Practice Address - Street 1:6725 S CROCKER WAY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-3659
Practice Address - Country:US
Practice Address - Phone:720-966-9136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered