Provider Demographics
NPI:1306345368
Name:WOLFE, JOY ANNETTE (FNP-C)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:ANNETTE
Last Name:WOLFE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 W BUSINESS LOOP 70 STE 275
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-2522
Mailing Address - Country:US
Mailing Address - Phone:573-874-0008
Mailing Address - Fax:573-875-5350
Practice Address - Street 1:601 W BUSINESS LOOP 70 STE 275
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-2522
Practice Address - Country:US
Practice Address - Phone:573-874-0008
Practice Address - Fax:573-875-5350
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017024409363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily