Provider Demographics
NPI:1255763371
Name:WOLFE, JANA LIZABETH (MPAS, PA-C)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:LIZABETH
Last Name:WOLFE
Suffix:
Gender:F
Credentials:MPAS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1200 J D ANDERSON DRIVE
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505
Mailing Address - Country:US
Mailing Address - Phone:304-598-1460
Mailing Address - Fax:304-598-1457
Practice Address - Street 1:1200 J D ANDERSON DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3494
Practice Address - Country:US
Practice Address - Phone:304-598-1460
Practice Address - Fax:304-598-1457
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV2714363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant