MRS. HOLLY JO HENRY R.D.
NPI 1700264975
Dietitian, Registered in St. Augustine, FL

Active since May 08, 2015
400 HEALTH PARK BLVD., ST. AUGUSTINE, FL 32086(904) 819-5155(904) 819-4936 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Holly Jo Henry R.d. NPPES

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

MRS. HOLLY JO HENRY R.D. (NPI 1700264975) is an individual dietitian, registered in St. Augustine, Florida, licensed in Florida (ND5989) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1700264975
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. HOLLY JO HENRYCredential: R.D.
Location Address400 HEALTH PARK BLVD.St. Augustine, FL 32086
Mailing Address400 Health Park Blvd.St. Augustine, FL 32086 · (904) 819-5155 · Fax (904) 819-4936
Fax(904) 819-4936
Sole ProprietorNo
Enumeration DateMay 8, 2015
NPI 1700264975 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 · ND5989
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.

400 HEALTH PARK BLVD., St. Augustine, FL 32086

Other Names 1

Former Name (1)Miss Holly Jo Hancock R.d.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700264975, enumerated as an "individual" on May 08, 2015.

The provider is located at 400 HEALTH PARK BLVD. ST. AUGUSTINE, FL 32086 and the phone number is (904) 819-5155.

Dietitian, Registered with taxonomy code 133V00000X.