Individual
JOEL D JASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
620 N DIERS AVE, STE. 200, GRAND ISLAND, NE 68803-4984
(308) 384-5400
(308) 384-5201
Mailing address
620 N DIERS AVE, STE. 200, GRAND ISLAND, NE 68803-4984
(308) 384-5400
(308) 384-5201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1856
NE
363A00000X
Physician Assistant
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47054564512
—
NE
Enumeration date
05/18/2010
Last updated
10/23/2014
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