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Individual

MS. JILL MARIE JASINSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
673 MDG JB ELMENDORF RICHARDSON USAF, 5955 ZEAMER AVE., ANCHORAGE, AK 99506
(907) 580-0014
Mailing address
673 MDG JBER USAF, 5955 ZEAMER AVE., ANCHORAGE, AK 99506
(907) 580-0014

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
137935
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
137935
STATE LICENSE
AK
Enumeration date
11/11/2008
Last updated
02/10/2023
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