Larson, Jayne M

Larson, Jayne M is an individual health care provider with primary practice located at 14135 Cedar Ave Suite 100, Apple Valley MN 55124-4522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Larson, Jayne M can be contacted via phone (952) 432-4373.

Contact Information

Primary practice address
14135 Cedar Ave Suite 100 Apple Valley MN 55124-4522
Phone: (952) 432-4373
Fax: (952) 997-5679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R111622-3 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X Wisconsin

Profile Details

NPI number 1891787297
LBN Legal business name Larson, Jayne M
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jul 8th, 2007 - about 17 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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