person
Jill C. Berg, NP-C
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1447219951

Jill C. Berg is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Jill C. Berg practices in Fort Wayne, IN and has the professional credentials of NP-C. The NPI Number for Jill C. Berg is 1447219951 and holds a License No. 71001258A (Indiana).

The current practice location address for Jill C. Berg is 7916 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-432-2297 and via fax at 260-434-6433.

Location: 7916 W Jefferson Blvd, Fort Wayne, IN, 46804-7934
person
Provider Profile Details
NPI Number
1447219951
Provider Name
Jill C. Berg
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
7916 W Jefferson Blvd, Fort Wayne, IN, 46804-7934
Phone Number
260-432-2297
Fax Number
260-434-6433
Provider Enumeration Date
03/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500022462 01 RAILROAD
000000289365 01 IN ANTHEM
200353910 05 IN
2454348 05 OH
institution
Provider Business Practice Location Address Details
Address
7916 W Jefferson Blvd
City
State
Zip
46804-4140
Phone Number
260-432-2297
Fax Number
260-434-6433
person
Provider Business Mailing Address Details
Address
7916 W Jefferson Blvd
City
State
Zip
46804-4140
Phone Number
260-432-2297
Fax Number
260-434-6433
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71001258A (Indiana)
Definition
Definition to come...
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