JESSICA J ACOSTA-VAN DEN BERG

US PUBLIC HEALTH SERVICE INDIAN HEALTH

Dr JESSICA J ACOSTA-VAN DEN BERG is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.

Contact

US PUBLIC HEALTH SERVICE INDIAN HEALTH

10321 N 2274 RD
CLINTON INDIAN HEALTH CENTER
CLINTON
OK
736017521

Tel: 5803232884

JESSICA J ACOSTA-VAN DEN BERG Information

Npi 1922404888
Pac Id 8729301098
Professional Enrollment Id I20141218001322
Last Name ACOSTA-VAN DEN BERG
First Name JESSICA
Middle Name J
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name US PUBLIC HEALTH SERVICE INDIAN HEALTH
Group Practice Pac Id 2163324237
Number Of Group Practice Members 40
Line 1 Street Address 10321 N 2274 RD
Line 2 Street Address CLINTON INDIAN HEALTH CENTER
Marker Of Address Line 2 Suppression
City CLINTON
State OK
Zip Code 736017521
Phone Number 5803232884
Hospital Affiliation Ccn 1 370170
Hospital Affiliation Lbn 1 USPHS LAWTON INDIAN HOSPITAL
Hospital Affiliation Ccn 2 370029
Hospital Affiliation Lbn 2 ALLIANCEHEALTH CLINTON
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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