Larson, Jennifer
Larson, Jennifer is an individual health care provider with primary practice located at 1026 7Th St W , Saint Paul MN 55102-3828. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Larson, Jennifer can be contacted via phone (651) 241-1000.Contact Information
Primary practice address
1026 7Th St W
Saint Paul MN 55102-3828
Phone: (651) 241-1000
Fax: (651) 241-1030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA05991 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA05991 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085003026 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 11136 | Minnesota |
Profile Details
| NPI number | 1184809907 |
|---|---|
| LBN Legal business name | Larson, Jennifer |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2007 |
| Last updated | Mar 5th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184809907 | NPPES |
| Texas | Other | 1184809907 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 206313302 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 206313301 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 8DC697 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 8Y5543 | BLUE CROSS BLUE SHIELD |
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