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NPI Code Detail

MEDICARE: JASON ZINNEL PA-C

MEDICARE: JASON ZINNEL PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant107063IA

General Provider Information

NPI Number : 1740839042
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON ZINNEL PA-C
Provider Business Mailing Address
First Line : 1409 34TH ST
Second Line :
City : SPIRIT LAKE
State : IA
Zip : 51360-7655
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1850 ROYAL AVE
Second Line :
City : SPIRIT LAKE
State : IA
Zip : 51360-1190
Country : US
Telephone Number : 712-336-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2019
Last Update Date : 01/16/2026

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Directions to “ JASON ZINNEL PA-C” Practice Location

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