Individual
JACKIE BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 W A ST, NORTH PLATTE, NE 69101-4788
(308) 535-7134
Mailing address
3900 W A ST, NORTH PLATTE, NE 69101-4788
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
70749
NE
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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