Jasper, Kyle David

Jasper, Kyle David is an individual health care provider with primary practice located at 11801 Go For Broke Rd , Roseville CA 95678-7055. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Jasper, Kyle David can be contacted via phone (916) 409-8261.

Contact Information

Primary practice address
11801 Go For Broke Rd Roseville CA 95678-7055
Phone: (916) 409-8261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95015599 California

Profile Details

NPI number 1962057281
LBN Legal business name Jasper, Kyle David
Credentials PMHNP, MSN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2019
Last updated Aug 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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