Individual
JESSICA HOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
11101 W LINCOLN AVE, ROGERS MEMORIAL HOSPITAL, WEST ALLIS, WI 53227
(414) 327-3000
Mailing address
3630 N HICKORY LANE, OCONOMOWOC, WI 53066
(262) 646-1338
(262) 646-7067
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
246333
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41195500
—
WI
Enumeration date
09/08/2006
Last updated
10/13/2015
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