Individual provider · Type 1 NPI

Jacqueline M. Wolk, FNP

Family Nurse Practitioner · Bloomsdale, MO

NPI number 1144730615 Active

Practice location

255 Boderman
Bloomsdale, MO 63627-9099

Fax (573) 483-9612

Mailing address

800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2017036067 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1144730615

Jacqueline M. Wolk, FNP's National Provider Identifier is 1144730615, issued on Oct 10, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bloomsdale, MO. The record was last updated on Oct 10, 2017.