Healthcare Provider Details

I. General information

NPI: 1083924617
Provider Name (Legal Business Name): JILLIAN MARIE VOLNEK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2010
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 N 27TH ST
LINCOLN NE
68503-1803
US

IV. Provider business mailing address

9911 N 151ST ST
WAVERLY NE
68462-1611
US

V. Phone/Fax

Practice location:
  • Phone: 402-476-1455
  • Fax: 402-476-1670
Mailing address:
  • Phone: 24-890-3970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1534
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1534
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number1534
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: