Individual provider · Type 1 NPI

Casey Provo, MS, RDN, LDN

Registered Dietitian · Memphis, TN

NPI number 1386163707 Active

Practice location

1689 Nonconnah Blvd.
Memphis, TN 38132

Mailing address

1156 West Natchez Point, #72
Memphis, TN 38103

Other practice locations

  • 1030 Jefferson Ave., Memphis, TN 38104 · (901) 523-8990

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X3200 (TN)

Registered Dietitian: 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…

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About NPI 1386163707

Casey Provo, MS, RDN, LDN's National Provider Identifier is 1386163707, issued on Sep 18, 2017. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Memphis, TN. The record was last updated on Mar 17, 2018.