Healthcare Provider Details

I. General information

NPI: 1861324055
Provider Name (Legal Business Name): JORIE NICOLE WOLFF RD, LDN, IFNCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 TWILIGHT TRL
WILLOW SPRING NC
27592-4407
US

IV. Provider business mailing address

170 TWILIGHT TRL
WILLOW SPRING NC
27592-4407
US

V. Phone/Fax

Practice location:
  • Phone: 443-370-8872
  • Fax:
Mailing address:
  • Phone: 443-370-8872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL005830
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: