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

Charissa Nicholls, RDN

Individual provider Registered Dietitian · NPI 1487321980

Charissa Nicholls, RDN is a Registered Dietitian in Orange Park, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

1605 Ibis Dr
Orange Park, FL 32065-8003
Phone: (904) 631-0540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1487321980
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021

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