| NPI | 1861830275 |
|---|---|
| Former Name | ALISSA JO JASKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND 33740) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 1898020) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2016-07-27 |