Larsen, Jill R

Larsen, Jill R is an individual health care provider with primary practice located at 11 Doctors Dr , Ocean Springs MS 39564-5709. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Larsen, Jill R can be contacted via phone (228) 872-2403.

Contact Information

Primary practice address
11 Doctors Dr Ocean Springs MS 39564-5709
Phone: (228) 872-2403
Fax: (228) 875-7584
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 00111 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X TA1635 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00111 Mississippi

Profile Details

NPI number 1861672909
LBN Legal business name Larsen, Jill R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Sep 13th, 2018 - about 7 years ago

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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