Berryman, Jackie Louise

Berryman, Jackie Louise is an sole proprietor health care provider with primary practice located at 623 Circle Dr , Wellington KS 67152-3207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Berryman, Jackie Louise can be contacted via phone (620) 968-7076.

Contact Information

Primary practice address
623 Circle Dr Wellington KS 67152-3207
Phone: (620) 968-7076
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X 13033749011 74471 Kansas

Profile Details

NPI number 1891159398
LBN Legal business name Berryman, Jackie Louise
Credentials APRN/CNS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2016
Last updated Apr 11th, 2016 - about 8 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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