Jackie L Berkley, RN Valid NPI

Individual provider · Registered Nurse · Gallup, NM

NPI

1033456686

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

041270126 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2013-01-15

Last updated

2013-01-15