Individual
JESSICA LYNN BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 E SPRUCE ST, GARDEN CITY, KS 67846-5679
(620) 521-2567
Mailing address
PO BOX 535, LA CROSSE, KS 67548-0535
(620) 805-9415
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
557728
KS
Other
Enumeration date
09/23/2019
Last updated
09/01/2023
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