IndividualActive
Jessica Wolf
NPI 1356922413 · Nurse Practitioner · Dallas, TX
Provider details
- NPI number
- 1356922413
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1019042 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3604 Live Oak St Ste 100
Dallas, TX 75204-6169
Phone: (214) 358-2300
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 660132
Dallas, TX 75266-0132
Additional practice locations (1)
- 1420 Viceroy DrDallas, TX 75235-2208Phone: (214) 358-2300Fax: (214) 579-6941
Registry dates
- Enumerated
- 2021-04-19
- Last updated
- 2021-06-03
- Certified
- 2021-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.