Provider Demographics
NPI:1609926963
Name:JASPAN, ANN LYNN (CNM)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LYNN
Last Name:JASPAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 E OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4651
Mailing Address - Country:US
Mailing Address - Phone:215-340-9027
Mailing Address - Fax:215-340-2447
Practice Address - Street 1:58 E OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4651
Practice Address - Country:US
Practice Address - Phone:215-340-9027
Practice Address - Fax:215-340-2447
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW008238L367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA075284R92Medicare ID - Type UnspecifiedMEDICARE