Summer Wolf

NPI # 

Practice Address:

1515 River Rd

Jefferson, LA, 70121-4227

Practice Phone:

866-624-7637

License Number:

213375

License State:

LA

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Code:

363L00000X

Updated by NPPES on 3/31/2025. You can view the original data set for NPI # 1801696992 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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