Wolf-King, Jaquetta J

Wolf-King, Jaquetta J is an individual health care provider with primary practice located at 490 Dunlop Ln , Clarksville TN 37040-5007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wolf-King, Jaquetta J can be contacted via phone (931) 245-8600.

Contact Information

Primary practice address
490 Dunlop Ln Clarksville TN 37040-5007
Phone: (931) 245-8600
Fax: (931) 245-8660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18974 Tennessee

Profile Details

NPI number 1699179135
LBN Legal business name Wolf-King, Jaquetta J
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2014
Last updated Aug 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699179135 NPPES
Tennessee MEDICAID Q011918

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