Individual
JENNIFER HERRMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, IBCLC
Contact information
Practice address
5002 RANDALL PKWY STE 102, WILMINGTON, NC 28403-2845
(252) 626-6652
Mailing address
328 MARSH OAKS DR, WILMINGTON, NC 28411-8708
(252) 626-6652
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
940969
—
133V00000X
Registered Dietitian
L006539
NC
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
L-17256
NC
174N00000X
Lactation Consultant (Non-RN)
Primary
L-17256
—
Other
Enumeration date
10/21/2022
Last updated
02/26/2026
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