Individual
JESSICA ELIN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN/CNP
Contact information
Practice address
13050 ISLE DRIVE, BAXTER, MN 56425
(218) 454-5935
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-2861
(218) 828-3126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3700
MN
363LF0000X
Family Nurse Practitioner
R182725-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182725-3
MN BOARD OF NURSING
MN
Enumeration date
07/03/2014
Last updated
03/06/2024
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