Larsen, Jessica Ann
Larsen, Jessica Ann is an individual health care provider with primary practice located at 1500 Associates Dr , Dubuque IA 52002-2201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Larsen, Jessica Ann can be contacted via phone (563) 584-4425.Contact Information
Primary practice address
1500 Associates Dr
Dubuque IA 52002-2201
Phone: (563) 584-4425
Fax: (563) 584-4427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002051 | Iowa |
Profile Details
| NPI number | 1013247733 |
|---|---|
| LBN Legal business name | Larsen, Jessica Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2009 |
| Last updated | Apr 29th, 2014 - about 12 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 | 1013247733 | NPPES |
| Iowa | Other | 002051 | LICENSE |
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