MEDICARE: JORIE NICOLE WOLFF RD, LDN, IFNCP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	L005830	NC

General Provider Information

NPI Number	:	1861324055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORIE NICOLE WOLFF RD, LDN, IFNCP

Provider Business Mailing Address
First Line	:	170 TWILIGHT TRL
Second Line	:
City	:	WILLOW SPRING
State	:	NC
Zip	:	27592-4407
Country	:	US
Telephone Number	:	443-370-8872
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 TWILIGHT TRL
Second Line	:
City	:	WILLOW SPRING
State	:	NC
Zip	:	27592-4407
Country	:	US
Telephone Number	:	443-370-8872
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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