Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jolene Dorn, RDN

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1508596495

Jolene Dorn, RDN is a Registered Dietitian OR Nutrition Professional in Green Bay, Wisconsin. Qualified in 2021, 5 years ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2022
Specialties on file
2
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

1860 Shawano Ave
Green Bay, WI 54303-2667
Phone: (920) 496-4700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X · Licence 5012-29 (WI)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence 2717-29 (WI)

Record details

NPI number1508596495
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedJune 14, 2022
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022
Mailing address1860 Shawano Ave, Green Bay, WI 54303-2667

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount