Individual
JACQUELINE SUE WOLFF-ELLIFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2402 WINNEBAGO ST, MADISON, WI 53704-5341
(608) 242-6840
(608) 245-6117
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9603
WI
363LF0000X
Family Nurse Practitioner
9603-33
WI
Other
Enumeration date
11/15/2019
Last updated
03/04/2024
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