| Jaclyn Wolf, NP | |
|
5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346-3199 | |
| (248) 625-2621 | |
| (248) 625-2622 |
| Full Name | Jaclyn Wolf |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5701 Bow Pointe Dr Ste 100, Clarkston, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760975635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704293207 (Michigan) | Primary |
| Entity Name | Northview Medical House Calls Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336447002 PECOS PAC ID: 9537345400 Enrollment ID: O20110511000431 |
| Entity Name | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Wolf, NP 5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346-3199 Ph: (248) 625-2621 | Jaclyn Wolf, NP 5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346-3199 Ph: (248) 625-2621 |
Mrs. Susan Louise Clark, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5701 Bow Pointe Dr, Suite 225, Clarkston, MI 48346 Phone: 248-384-8300 Fax: 248-384-8309 | |
Kimberly Marie Visintine, DNP, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6315 Crab Apple St, Clarkston, MI 48346 Phone: 248-207-0206 | |
Gabrielle Domenica Fazio, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5701 Bow Pointe Dr Ste 120, Clarkston, MI 48346 Phone: 248-922-6880 | |
Suzanne Marie Lugger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5028 Ridge Trl S, Clarkston, MI 48348 Phone: 248-568-7189 | |
Cindy Kay Fulton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7013 Oakhurst Ridge Rd, Clarkston, MI 48348 Phone: 989-670-9510 | |
Daniel Joseph Dean, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7300 Dixie Hwy Ste 1000, Clarkston, MI 48346 Phone: 517-882-3732 Fax: 517-882-3633 | |
Bianca Green, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5701 Bow Pointe Dr, Clarkston, MI 48346 Phone: 248-625-2621 Fax: 248-625-2621 |