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Individual

JODI WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5404 W LOOMIS RD, GREENDALE, WI 53129-1411
(630) 571-8990
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196156
WI
363L00000X
Nurse Practitioner
Primary
14933
WI
363LF0000X
Family Nurse Practitioner
14933-33
WI

Other

Enumeration date
12/19/2023
Last updated
03/12/2024
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