Individual
JACALINE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
730 HARRISON ST, EMMAUS, PA 18049-2211
(610) 965-1900
(610) 965-2900
Mailing address
730 HARRISON ST, EMMAUS, PA 18049-2211
(610) 965-1900
(610) 965-2900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP009164
PA
363LF0000X
Family Nurse Practitioner
Primary
SP009164
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP009164
LICENSE
PA
Enumeration date
01/16/2007
Last updated
03/06/2025
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