JACQUELYN RENE FORSSBERG

GREAT BEND, KS
NPI1043628233
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: KS  53-76350-092)
Enumeration Date2014-07-31
Last Update Date2021-03-26
Business Address
MRS. JACQUELYN RENE FORSSBERG APRN
1021 EISENHOWER AVE
GREAT BEND, KS 67530
Phone number: 620-792-5437
Mailing Address
MRS. JACQUELYN RENE FORSSBERG APRN
200 COMMODORE ST
PRATT, KS 67124-2903
Phone number: 620-450-1186
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