Provider Demographics
NPI:1780561431
Name:JASPER, CHRISTINA DENISE (CNA)
Entity type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:DENISE
Last Name:JASPER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 GEORGETOWN LN
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-8919
Mailing Address - Country:US
Mailing Address - Phone:872-372-7416
Mailing Address - Fax:
Practice Address - Street 1:713 GEORGETOWN LN
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-8919
Practice Address - Country:US
Practice Address - Phone:872-372-7416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0014250788376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty