NPI 1851721393 · live from the CMS NPI Registry
Gregory Allen Jasper, PNP
Nurse Practitioner, Pediatrics in Clinton, IA. National Provider Identifier 1851721393, active.
NPI record
| NPI | 1851721393 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 915 13th Ave N, Clinton, IA 52732 |
| Practice phone | 563-243-2511 |
| Mailing address | 621 S Illinois Ave, Suite 103, Mason City, IA 50401 |
| Enumerated | November 20, 2013 |
| Last updated | September 27, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 041.415673 (IL) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | C091812 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.