| Doctor Name: | JILL JASPERSON |
| NPI Number: | 1083914428 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPAS, PA-C |
| License Number: | 10794 |
| Business Practice Address: | 11990 Business Park Blvd N Attn: Clinic Champlin, MN - 553162005 |
| Business Phone Number: | 7633541006 |
| Business Fax Number: | |
| Mailing Address: | 4531 34th Ave S, MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554063834 |
| Phone Number: | 6126692174 |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2010 |
| NPI Last Update Date: | 09/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 10794 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |