NPI 1225675218

Kacie Lauren Blackwell Berry, NP

Practitioner Psychiatric/Mental Health Nurse Practitioner Rogue River, OR

Practice location

Address: 213 E Main St, Rogue River, OR 97537-9100
Phone: (541) 714-5610
Fax: (541) 714-5611

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 10030427 (OR)

Other Nurse Practitioner providers in Oregon →

Registry record

NPI: 1225675218
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2019
Record last updated: 17 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.