Jacqueline Marie Gasperlin, PA-C
Physician Assistant in Minneapolis, MN. Individual provider (NPI-1).
NPI number1003487166
StatusActive
Last updated in NPPESJan 18, 2022
Details
- NPI
- 1003487166
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Marie Gasperlin
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2021
- Certification date
- Jan 18, 2022
- Last updated
- Jan 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 13734 | MN | Yes |
Other names
- Jacqueline Marie Johnson (Former Name)
Practice location
800 E 28th StMinneapolis, MN 55407-3723
Phone 612-863-4000
Mailing address
800 E 28th StMinneapolis, MN 55407-3723
Phone 612-863-4000
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