Healthcare Provider Details

I. General information

NPI: 1952900268
Provider Name (Legal Business Name): JENNIFER MARIE WOLFE MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2020
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 MATTHEWS TOWNSHIP PKWY
MATTHEWS NC
28105-4600
US

IV. Provider business mailing address

1305 MATTHEWS TOWNSHIP PKWY
MATTHEWS NC
28105-4600
US

V. Phone/Fax

Practice location:
  • Phone: 704-847-8508
  • Fax:
Mailing address:
  • Phone: 704-847-8508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5013686
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: