MEDICARE: JESSICA LEEANNE WOLFE ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A164840	IA
2	363L00000X	Nurse Practitioner	A164840	IA

General Provider Information

NPI Number	:	1649943689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LEEANNE WOLFE ARNP

Provider Business Mailing Address
First Line	:	6800 LAKE DR STE 285
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-2544
Country	:	US
Telephone Number	:	515-697-0179
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 BLAIRS FERRY RD NE STE 30
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-1219
Country	:	US
Telephone Number	:	515-226-3116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2021
Last Update Date	:	02/09/2026

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