DR. JENNIE LAUREN BUTLER PHD, RDN, LDN
NPI 1619458080
Dietitian, Registered in Jacksonville, FL

Active since August 23, 2018
1900 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216(919) 951-4345 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 22, 2021, Aug 23, 2018 (2 updates tracked since 2018).

About Dr. Jennie Lauren Butler Phd, Rdn, Ldn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIE LAUREN BUTLER PHD, RDN, LDN (NPI 1619458080) is an individual dietitian, registered in Jacksonville, Florida, licensed in Florida (8749) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1619458080
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameDR. JENNIE LAUREN BUTLERCredential: PHD, RDN, LDN
Location Address1900 CORPORATE SQUARE BLVDJacksonville, FL 32216-1941
Mailing Address78 W 11th StAtlantic Beach, FL 32233-3461 · (919) 951-4345
Sole ProprietorNo
Enumeration DateAugust 23, 2018
Last NPPES UpdateJuly 22, 20212 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
NPI 1619458080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in FL · 8749
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1900 CORPORATE SQUARE BLVD, Jacksonville, FL 32216

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Dietitian, Registered
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Clinical Medical Laboratory
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Clinical Medical Laboratory
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Internal Medicine (Addiction Medicine)
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Physician Assistant
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Nurse Practitioner (Psychiatric/Mental Health)
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216
Nurse Practitioner (Family)
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619458080, enumerated as an "individual" on August 23, 2018.

The provider is located at 1900 CORPORATE SQUARE BLVD JACKSONVILLE, FL 32216 and the phone number is (919) 951-4345.

Dietitian, Registered with taxonomy code 133V00000X.