IndividualActive
Jolene Dorn, RDN
NPI 1508596495 · Pediatric Nutrition Registered Dietitian · Green Bay, WI
Provider details
- NPI number
- 1508596495
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- License
- 2717-29 (WI)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
1860 Shawano Ave
Green Bay, WI 54303-2667
Phone: (920) 496-4700
Approximate (ZIP-level) locationGet directions
Mailing address
1860 Shawano Ave
Green Bay, WI 54303-2667
Registry dates
- Enumerated
- 2022-06-14
- Last updated
- 2022-10-11
- Certified
- 2022-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.