JESSICA JENAE ACOSTA-VAN DEN BERG

CLINTON, OK
NPI1922404888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  96005)
Enumeration Date2014-11-05
Last Update Date2014-11-05
Business Address
-- JESSICA JENAE ACOSTA-VAN DEN BERG APRN-CNP
10321 N 2274 RD
CLINTON, OK 73601-7521
Phone number: 580-331-3300
Mailing Address
-- JESSICA JENAE ACOSTA-VAN DEN BERG APRN-CNP
10321 N 2274 RD
CLINTON, OK 73601-7521
Phone number: 580-331-3300