Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Casey Provo, MS, RDN, LDN

Individual provider Registered Dietitian · NPI 1386163707

Casey Provo, MS, RDN, LDN is a Registered Dietitian in Memphis, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

1689 Nonconnah Blvd
Memphis, TN 38132
Phone: (901) 523-8990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 3200 (TN)

Record details

NPI number1386163707
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN , LDN
Sole proprietorNo
NPI enumeratedSeptember 18, 2017
Last updated in NPPESMarch 17, 2018
Mailing address1156 West Natchez Point, 72, Memphis, TN 38103

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