IndividualActive
Jennifer Wilfong, RD
NPI 1821606898 · Registered Dietitian · Lorena, TX
Provider details
- NPI number
- 1821606898
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- DT83244 (TX)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
400 Gibraltar Ln
Lorena, TX 76655-3622
Phone: (719) 439-2470
Approximate (ZIP-level) locationGet directions
Mailing address
400 Gibraltar Ln
Lorena, TX 76655-3622
Registry dates
- Enumerated
- 2020-07-16
- Last updated
- 2026-03-08
- Certified
- 2026-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.