IndividualActive
Jackie Berryman, APRN/CNS
NPI 1891159398 · Acute Care Clinical Nurse Specialist · Wellington, KS
Provider details
- NPI number
- 1891159398
- Entity type
- Individual
- Primary specialty
- Acute Care Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN/CNS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 13033749011 74471 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
623 Circle Dr
Wellington, KS 67152-3207
Phone: (620) 968-7076
Approximate (ZIP-level) locationGet directions
Mailing address
701 Se Stone Rd
El Dorado, KS 67042-5500
Registry dates
- Enumerated
- 2016-04-11
- Last updated
- 2016-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.