Provider Demographics
NPI:1891311346
Name:NOSKER, JASPER
Entity Type:Individual
Prefix:
First Name:JASPER
Middle Name:
Last Name:NOSKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5633 TYLERSVILLE RD STE B
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-2533
Mailing Address - Country:US
Mailing Address - Phone:513-622-9595
Mailing Address - Fax:
Practice Address - Street 1:11147 MONTGOMERY RD STE 200
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-2383
Practice Address - Country:US
Practice Address - Phone:513-214-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-21
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPRN.CNP.0034260363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily