IndividualActive
Jolene Carlson, LN
NPI 1265105498 · Nutritionist · Wayzata, MN
Provider details
- NPI number
- 1265105498
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- LN
- Sex
- Female
- Sole proprietor
- No
- License
- N240 (MN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1250 Wayzata Blvd E
Wayzata, MN 55391-1951
Phone: (952) 345-0766
Fax: (651) 695-0191
Approximate (ZIP-level) locationGet directions
Mailing address
45 Snelling Ave N
Saint Paul, MN 55104-6842
Registry dates
- Enumerated
- 2021-07-25
- Last updated
- 2021-07-25
- Certified
- 2021-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.