Individual
MS. JOLENE M WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
2907 ASHER CV, JONESBORO, AR 72401-5941
(870) 530-1484
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113116
MO
363LF0000X
Family Nurse Practitioner
113116
MO
Other
Enumeration date
04/20/2006
Last updated
06/19/2012
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