Individual
TINA B. JASPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1936 N HIGHLAND AVE, SUITE B., JACKSON, TN 38305-4537
(800) 400-4210
(800) 771-9243
Mailing address
1936 N HIGHLAND AVE, SUITE B., JACKSON, TN 38305-4537
(800) 400-4210
(800) 771-9243
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000991
TN
332BX2000X
Oxygen Equipment & Supplies (DME)
0000003066
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4582109
—
TN
Enumeration date
03/21/2007
Last updated
08/24/2012
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