Wolfe, Carlene Maynor
Wolfe, Carlene Maynor is an individual health care provider with primary practice located at 1208 Office Park Dr , Oxford MS 38655-3597. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wolfe, Carlene Maynor can be contacted via phone (662) 234-9888.Contact Information
Primary practice address
1208 Office Park Dr
Oxford MS 38655-3597
Phone: (662) 234-9888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R764119 | Mississippi |
Profile Details
| NPI number | 1518052661 |
|---|---|
| LBN Legal business name | Wolfe, Carlene Maynor |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Sep 19th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518052661 | NPPES |
| Mississippi | MEDICAID | 08184344 | |
| Mississippi | MEDICAID | 00113694 |
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