Individual
JESSICA ANN BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1215 TIBBALS ST, HOLDREGE, NE 68949-1255
(308) 995-2942
Mailing address
800 E CORNWALL ST, OXFORD, NE 68967-9577
(308) 293-0076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2725
NE
Other
Enumeration date
02/08/2022
Last updated
02/21/2025
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