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Contact Information

JACKIE L BERRYMAN, APRN/CNS
623 CIRCLE DR
WELLINGTON, KS67152-3207
 Phone: 620-968-7076
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for JACKIE L BERRYMAN · (Female)

NPI # 1891159398
Status Active
Credentials APRN/CNS
Entity Individual
Enumeration date 04/11/2016
Last updated 04/11/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 13033749011 74471
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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