Healthcare Provider Details

I. General information

NPI: 1598905085
Provider Name (Legal Business Name): JILL ELIZABETH DOLBERG CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2009
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8020 O ST
LINCOLN NE
68510-2561
US

IV. Provider business mailing address

8020 O ST
LINCOLN NE
68510-2561
US

V. Phone/Fax

Practice location:
  • Phone: 402-488-6370
  • Fax: 402-488-4393
Mailing address:
  • Phone: 402-488-6370
  • Fax: 402-488-4393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number120038
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: