Healthcare Provider Details

I. General information

NPI: 1801100417
Provider Name (Legal Business Name): PATRICIA NOEL JACKSON WOLFE DPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2010
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 HWY 80 WEST
CLINTON MS
39056
US

IV. Provider business mailing address

604 HWY 80 WEST
CLINTON MS
39056
US

V. Phone/Fax

Practice location:
  • Phone: 601-473-2106
  • Fax:
Mailing address:
  • Phone: 601-473-2106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3369
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: