Individual provider · Type 1 NPI

Jon D. Berge, APNP

Nurse Practitioner · Appleton, WI

NPI number 1134553456 Active

Practice location

820 E Grant St
Appleton, WI 54911-3483

Fax (920) 738-6400

Mailing address

744 S Webster Ave
Green Bay, WI 54301-3505

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5402 (WI)
Registered Nurse 163W00000X167960 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1134553456

Jon D. Berge, APNP's National Provider Identifier is 1134553456, issued on Aug 22, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Appleton, WI. The record was last updated on Aug 29, 2018.