Individual provider · Type 1 NPI

Jolene Dorn, RDN

Pediatric Nutrition Registered Dietitian · Green Bay, WI

NPI number 1508596495 Active

Practice location

1860 Shawano Ave
Green Bay, WI 54303-2667

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian 133VN1004X2717-29 (WI)
Pediatric Nutrition Registered Dietitian Primary 133VN1004X5012-29 (WI)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1508596495

Jolene Dorn, RDN's National Provider Identifier is 1508596495, issued on Jun 14, 2022. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Green Bay, WI. The record was last updated on Oct 11, 2022.