Individual provider · Type 1 NPI
Gregory Allen Jasper, PNP
Pediatric Nurse Practitioner · Clinton, IA
NPI number
1851721393
Active
Practice location
915 13th Ave N
Clinton, IA 52732-5067
Fax (563) 243-0817
Mailing address
621 S Illinois Ave, Suite 103
Mason City, IA 50401-5489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 041.415673 (IL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | C091812 (IA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1851721393
Gregory Allen Jasper, PNP's National Provider Identifier is 1851721393, issued on Nov 20, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Clinton, IA. The record was last updated on Sep 27, 2019.