Healthcare Provider Details

I. General information

NPI: 1356595581
Provider Name (Legal Business Name): JILL RENAE ASPREY A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2008
Last Update Date: 04/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 7TH AVE SW
CEDAR RAPIDS IA
52404-1921
US

IV. Provider business mailing address

720 7TH AVE SW
CEDAR RAPIDS IA
52404-1921
US

V. Phone/Fax

Practice location:
  • Phone: 319-558-1122
  • Fax: 319-363-3047
Mailing address:
  • Phone: 319-558-1122
  • Fax: 319-363-3047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberC-079137
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: