JILLIAN WOLLENBURG (NPI# 1013563832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013563832 |
| Entity Type | Individual |
| Full Name | JILLIAN WOLLENBURG |
| Credential | RN |
| Practice Address |
209 S 2nd St Mc Cool Junction NE 68401-7500 |
| Practice Telephone | 4027242231 |
| Mailing Telephone | 4027242231 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
74215 | NE | Nursing Service Providers |
| Street Address |
209 S 2ND ST |
| City | MC COOL JUNCTION |
| State | NE |
| Zip Code | 68401-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750751731 | Tina Mierau | Speech-Language Pathologist | 209 S 2nd Ave, Mc Cool Junction, NE 68401-8022 | 2015-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750751731 | Tina Mierau | Speech-Language Pathologist | 209 S 2nd Ave, Mc Cool Junction, NE 68401-8022 | 2015-10-02 |
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
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| 1104439348 | Barbara A Rippe | Registered Nurse | 824 10th Ave, Nebraska City, NE 68410-1370 | 2020-08-27 |
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| 1710596127 | Meghan Shoop | Registered Nurse | 6245 L St, Lincoln, NE 68510-2354 | 2020-07-31 |
| 1396354791 | Jennifer Kobiela | Registered Nurse | 4509 N 205th Ave, Elkhorn, NE 68022-4690 | 2020-07-31 |
| 1467061820 | Joni Renee Jahn | Registered Nurse | 6812 S 89th St, Lincoln, NE 68526-9739 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | MC COOL JUNCTION |
| Zip Code | 68401 |
Please comment or provide details below to improve the information on JILLIAN WOLLENBURG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.