Provider Demographics
NPI:1023600335
Name:JASPER, ALYSON LEIGH (DNAP, APRN, CRNA)
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:LEIGH
Last Name:JASPER
Suffix:
Gender:F
Credentials:DNAP, APRN, CRNA
Other - Prefix:
Other - First Name:ALYSON
Other - Middle Name:LEIGH
Other - Last Name:SENKERIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNAP, APRN, CRNA
Mailing Address - Street 1:200 1ST ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55905-0001
Mailing Address - Country:US
Mailing Address - Phone:507-625-4031
Mailing Address - Fax:
Practice Address - Street 1:1025 MARSH ST
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-4752
Practice Address - Country:US
Practice Address - Phone:507-625-4031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC128873207L00000X
MN2740367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology