Individual provider · Type 1 NPI

Jessica Jenae Acosta-Van Den Berg, APRN-CNP

Family Nurse Practitioner · Clinton, OK

NPI number 1922404888 Active

Practice location

10321 N 2274 Rd
Clinton, OK 73601-7521

Fax (580) 323-2579

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X96005 (OK)

Family Nurse Practitioner: Definition to come...

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About NPI 1922404888

Jessica Jenae Acosta-Van Den Berg, APRN-CNP's National Provider Identifier is 1922404888, issued on Nov 5, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clinton, OK. The record was last updated on Nov 5, 2014.