| Doctor Name: | JONATHAN ASPINWALL |
| NPI Number: | 1063804722 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | ARNP9294295 |
| Business Practice Address: | 369 N Main St Uite A Crestview, FL - 325363541 |
| Business Phone Number: | 8503986963 |
| Business Fax Number: | 8503988277 |
| Mailing Address: | 55 Oakridge Way, DEFUNIAK SPRINGS |
| State: | FL |
| Postal Code: | 324338168 |
| Phone Number: | 8506827212 |
| Fax Number: | 8506826302 |
| NPI Enumeration Date: | 03/04/2015 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | ARNP9294295 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |