Individual provider · Type 1 NPI
Jessica J. Wollberg, APRN
Acute Care Nurse Practitioner · Omaha, NE
NPI number
1104018647
Active
Practice location
8200 Dodge St, Children's Hospital - Pediatric Surgery
Omaha, NE 68114-4113
Fax (402) 955-7405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 110856 (NE) |
| Pediatric Nurse Practitioner | 363LP0200X | 110856 (NE) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1104018647
Jessica J. Wollberg, APRN's National Provider Identifier is 1104018647, issued on Aug 17, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Omaha, NE. The record was last updated on Dec 8, 2025.