Individual
MISS JENNIFER ANN BERGMANN-KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1000 ELEVEN S STE 4A, COLUMBIA, IL 62236-1077
(618) 206-6120
(618) 206-6119
Mailing address
1000 ELEVEN S STE 4A, COLUMBIA, IL 62236-1077
(618) 206-6120
(618) 206-6119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014652
IL
363LF0000X
Family Nurse Practitioner
2016025945
MO
363LF0000X
Family Nurse Practitioner
209014652
IL
363LF0000X
Family Nurse Practitioner
RN154908, APRN PEND
MO
Other
Enumeration date
06/16/2016
Last updated
06/07/2024
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