Individual
GREGORY ALLEN JASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(563) 212-0229
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
041.415673
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
C091812
IA
Other
Enumeration date
11/20/2013
Last updated
09/27/2019
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