# JOEL D JASA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982923868
- **Gender:** Man
- **Credential:** P.A.-C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 1856 | NE | Yes |
| 363A00000X | Physician Assistant | — | MN | — |

## Other

- **Enumeration date:** 05/18/2010
- **Last updated:** 10/23/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 47054564512 | — | NE |