Individual
JILL JASPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1040 GRAND AVE, SAINT PAUL, MN 55105-3001
(866) 389-2727
Mailing address
4531 34TH AVE S, MINNEAPOLIS, MN 55406-3834
(612) 669-2174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10794
MN
363AM0700X
Medical Physician Assistant
10794
MN
Other
Enumeration date
11/02/2010
Last updated
11/02/2022
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