Provider Demographics
NPI:1356595581
Name:ASPREY, JILL RENAE (ARNP)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:RENAE
Last Name:ASPREY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 7TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-1921
Mailing Address - Country:US
Mailing Address - Phone:319-558-1122
Mailing Address - Fax:319-363-3047
Practice Address - Street 1:720 7TH AVE SW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-1921
Practice Address - Country:US
Practice Address - Phone:319-558-1122
Practice Address - Fax:319-363-3047
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAC-079137363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics