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Contact Information

JESSICA E BERG, APRN/CNP
13050 ISLE DRIVE
BAXTER, MN56425
 Phone: 218-454-5935
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JESSICA E BERG · (Female)

NPI # 1568878072
Status Active
Credentials APRN/CNP
Entity Individual
Enumeration date 07/03/2014
Last updated 03/06/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 3700
  • MN License # R182725-3
  • MN Other 182725-3 MN BOARD OF NURSING
Hospital affiliation(s)
  • ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER - (Acute Care)
    523 NORTH 3RD STREET
    BRAINERD, MN 56401
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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