Individual
JORDAN NICOLE WOLFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7000
Mailing address
11983 SAN PABLO BAY ST, LAS VEGAS, NV 89138-6159
(702) 493-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5455
SC
363A00000X
Physician Assistant
Primary
—
SC
Other
Enumeration date
08/09/2024
Last updated
03/12/2025
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