Individual
MRS. JACQUELINE RENEE BEREND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1631 11TH ST, WICHITA FALLS, TX 76301-4320
(940) 687-5100
(940) 687-3500
Mailing address
PO BOX 64, WINDTHORST, TX 76389-0064
(940) 423-6518
(940) 687-3500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
661133
TX
Other
Enumeration date
03/16/2006
Last updated
05/16/2011
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