Larson, Jennifer

Larson, Jennifer is an individual health care provider with primary practice located at 3624 Brooks St Ste 101 , Missoula MT 59801-7338. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Larson, Jennifer can be contacted via phone (888) 227-3312.

Contact Information

Primary practice address
3624 Brooks St Ste 101 Missoula MT 59801-7338
Phone: (888) 227-3312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 6338 Montana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP61059800 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 100183 Montana

Profile Details

NPI number 1184675233
LBN Legal business name Larson, Jennifer
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jun 23rd, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184675233 NPPES
Montana MEDICAID 4303788
Montana Other 000374300

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