Provider Demographics
NPI:1558745851
Name:VOGLTANCE, JOELLE MARIE (APRN)
Entity type:Individual
Prefix:
First Name:JOELLE
Middle Name:MARIE
Last Name:VOGLTANCE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 M ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2042
Mailing Address - Country:US
Mailing Address - Phone:531-289-9115
Mailing Address - Fax:
Practice Address - Street 1:14473 W CENTER RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-5401
Practice Address - Country:US
Practice Address - Phone:602-793-2621
Practice Address - Fax:531-466-2489
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111830363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily