Mrs Jackie Louise Berryman, APRN/CNS is a
Clinical Nurse Specialist - Acute Care based in Wellington, Kansas. Mrs Jackie Louise Berryman is licensed to practice in Kansas (license number 13033749011 74471) and her current practice location is
623 Circle Dr, Wellington, Kansas. She can be reached at her office (for appointments etc.) via phone at
(620) 968-7076.
NPI number for Mrs Jackie Louise Berryman is 1891159398 and her current mailing address is 701 Se Stone Rd, El Dorado, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891159398.
Provider's Profile
Full Name | Mrs Jackie Louise Berryman |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Acute Care |
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Location | 623 Circle Dr, Wellington, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891159398
- Provider Enumeration Date: 04/11/2016
- Last Update Date: 04/11/2016
Medical Identifiers
Medical identifiers for Mrs Jackie Louise Berryman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891159398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SA2100X | Clinical Nurse Specialist - Acute Care | 13033749011 74471 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jackie Louise Berryman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jackie Louise Berryman, APRN/CNS 701 Se Stone Rd, El Dorado, KS 67042-5500 Ph: (316) 320-7766 | Mrs Jackie Louise Berryman, APRN/CNS 623 Circle Dr, Wellington, KS 67152-3207 Ph: (620) 968-7076 |
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