| Doctor Name: | MS. JOLENE M WOLF |
| NPI Number: | 1033174115 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 113116 |
| Business Practice Address: | 1500 N Westwood Blvd Poplar Bluff, MO - 639013318 |
| Business Phone Number: | 5736864151 |
| Business Fax Number: | |
| Mailing Address: | 2907 Asher Cv, JONESBORO |
| State: | AR |
| Postal Code: | 724015941 |
| Phone Number: | 8705301484 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2006 |
| NPI Last Update Date: | 06/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 113116 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |