Most Relevant Information
Provider Data
| NPI Number: | 1003288267 |
| Provider Name: | ELIZABETH MARIE JASPER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 430969 |
Most Important Dates
| Enumeration Date: | 10/28/2015 |
| Last Updated: | 04/05/2021 |
Provider Practice Location
530 1ST AVE
SUITE 9V
NEW YORK
NY
100166402
Practice Location Phone/Fax
| Phone: | 6308424805 |
| Fax: |
Provider Mailing Location
530 1ST AVE
SUITE 9V
NEW YORK
NY
100166402
Provider Mailing Phone/Fax
| Phone: | 6308424805 |
| Fax: |