Acosta-Van Den Berg, Jessica Jenae
Acosta-Van Den Berg, Jessica Jenae is an individual health care provider with primary practice located at 10321 N 2274 Rd , Clinton OK 73601-7521. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Acosta-Van Den Berg, Jessica Jenae can be contacted via phone (580) 331-3300.Contact Information
Primary practice address
10321 N 2274 Rd
Clinton OK 73601-7521
Phone: (580) 331-3300
Fax: (580) 323-2579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 96005 | Oklahoma |
Profile Details
| NPI number | 1922404888 |
|---|---|
| LBN Legal business name | Acosta-Van Den Berg, Jessica Jenae |
| Credentials | APRN-CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2014 |
| Last updated | Nov 5th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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