IndividualActive
Jacquelyn Forssberg, APRN
NPI 1043628233 · Pediatric Nurse Practitioner · Great Bend, KS
Provider details
- NPI number
- 1043628233
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 53-76350-092 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1021 Eisenhower Ave
Great Bend, KS 67530
Phone: (620) 792-5437
Approximate (ZIP-level) locationGet directions
Mailing address
200 Commodore St
Pratt, KS 67124-2903
Additional practice locations (1)
- 200 Commodore StPratt, KS 67124-2903Phone: (620) 450-1186Fax: (620) 450-1741
Registry dates
- Enumerated
- 2014-07-31
- Last updated
- 2021-03-26
- Certified
- 2021-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.