| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LAURA JO HOLDEN | 1922687334 | 2021-04-04 |
Laura Jo Holden is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922687334. Registration indicates Laura Jo Holden is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)
| Entity Type | Individual |
| Provider Name | Laura Jo Holden RDN, LDN |
| Practice Office Address | 4500 SAN PABLO RD S JACKSONVILLE, FL US |
| Practice Office Telephone | 9049532000 |
| Mailing Address | 4500 SAN PABLO RD S JACKSONVILLE, FL 322241865 US |
| Business Telephone | 9049532000 |
| Code | Practice | License No State |
|---|---|---|
| 133V00000X PRIMARY | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | ND6991
FL |