IndividualActive
Jessica Holy, MS,RD,LD
NPI 1891151114 · Pediatric Nutrition Registered Dietitian · Fort Worth, TX
Provider details
- NPI number
- 1891151114
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS,RD,LD
- Sex
- Female
- Sole proprietor
- No
- License
- DT05224 (TX)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (682) 885-2500
Fax: (682) 885-2510
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 733784
Dallas, TX 75373-3784
Registry dates
- Enumerated
- 2016-01-04
- Last updated
- 2021-05-13
- Certified
- 2021-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.