Individual
MRS. JACQUELINE M WOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
255 BODERMAN, BLOOMSDALE, MO 63627-9099
(573) 483-2929
(573) 483-9612
Mailing address
800 STE GENEVIEVE DR, STE GENEVIEVE, MO 63670-1434
(573) 883-7781
(573) 883-4411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017036067
MO
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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