Nicholls, Charissa

Nicholls, Charissa is an individual health care provider with primary practice located at 1605 Ibis Dr , Orange Park FL 32065-8003. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Nicholls, Charissa can be contacted via phone (904) 631-0540.

Contact Information

Primary practice address
1605 Ibis Dr Orange Park FL 32065-8003
Phone: (904) 631-0540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1487321980
LBN Legal business name Nicholls, Charissa
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2021
Last updated Aug 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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