Jennifer Larson in Saint Paul - Physician Assistant
Jennifer Larson - NPI 1184809907
Jennifer Larson is a Physician Assistant in Saint Paul, Minnesota. Jennifer Larson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Larson is 1184809907. The last update date is 2021-03-05.
Jennifer Larson's current location address is 1026 7th St W, Saint Paul, Minnesota. You can contact this provider via phone number 6512411000 and fax number 6512411030. The mailing address for Jennifer Larson is 1026 7th St W, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Larson |
|---|---|
| Address | 1026 7th St W, Saint Paul, Minnesota |
| Phone Number | 6512411000 |
| Fax Number | 6512411030 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1184809907 |
|---|---|
| Provider Enumeration Date | 2007-12-31 |
| Last Updated Date | 2021-03-05 |
Provider Mailing Address Detail
| Address | 1026 7th St W |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551023828 |
| Phone Number | 6512411000 |
| Fax Number | 6512411030 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA05991 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1184809907 | TX | BLUE CROSS BLUE SHIELD | |
| 206313302 | TX | -- | |
| 206313301 | TX | -- | |
| 8DC697 | TX | BLUE CROSS BLUE SHIELD | |
| 8Y5543 | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Jennifer Larson by the Centers for Medicare & Medicaid Services?
The Jennifer Larson has been issued the NPI (National Provider Identifier) 1184809907. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jennifer Larson located?
The Jennifer Larson is located at 1026 7Th St W, Saint Paul, MN 551023828.
What is Jennifer Larson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer Larson is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184809907 to Jennifer Larson?
The Centers for Medicare & Medicaid Services originally issued the 1184809907 to Jennifer Larson on 2007-12-31.
As of what date were the Jennifer Larson's details last updated?
The information pertaining to the Jennifer Larson, including its address, specialty, and other details, was most recently updated on 2021-03-05.