| Mrs Jacqueline M Wolk, FNP | |
|
255 Boderman, Bloomsdale, MO 63627-9099 | |
| (573) 483-2929 | |
| (573) 483-9612 |
| Full Name | Mrs Jacqueline M Wolk |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 255 Boderman, Bloomsdale, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144730615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2017036067 (Missouri) | Primary |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184658387 PECOS PAC ID: 3274432802 Enrollment ID: O20040102000645 |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619026580 PECOS PAC ID: 3274432802 Enrollment ID: O20040204000815 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacqueline M Wolk, FNP 800 Ste Genevieve Dr, Ste Genevieve, MO 63670-1434 Ph: (573) 883-7781 | Mrs Jacqueline M Wolk, FNP 255 Boderman, Bloomsdale, MO 63627-9099 Ph: (573) 483-2929 |
Regine Politte, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Boderman, Bloomsdale, MO 63627 Phone: 573-483-9492 | |
Meagan Anne Conwell, CNP, PNP-PC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9737 Green Tree Ln, Bloomsdale, MO 63627 Phone: 573-702-5335 | |
Mrs. Morgan Leigh Ritter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Boderman, Bloomsdale, MO 63627 Phone: 573-483-2929 Fax: 573-483-9612 | |
Elle Grither, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Boderman, Bloomsdale, MO 63627 Phone: 573-483-2929 |