Healthcare Provider Details

I. General information

NPI: 1558210914
Provider Name (Legal Business Name): JULIA NICOLE HOLLAND RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 POPLAR GROVE CONNECTOR
BOONE NC
28607-5915
US

IV. Provider business mailing address

PO BOX 208
JEFFERSON NC
28640-0208
US

V. Phone/Fax

Practice location:
  • Phone: 828-264-4995
  • Fax: 828-865-1070
Mailing address:
  • Phone: 336-246-9449
  • Fax: 336-982-3555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL009142
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: