Jenna Larson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN95386586 Issued in CA

Practice address

3225 Timber Fall CT Ste B
Eureka, CA 95503-4892

Phone

(707) 442-5700

NPI assigned

Jul 10, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jenna Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Planned Parenthood: Shasta-Diablo, Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Eureka, CA
  • NPI 1609286418
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1043101744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 BEAU PRE DR",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955199451",
            "telephone_number": "530-519-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 TIMBER FALL CT STE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034892",
            "telephone_number": "707-442-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95386586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Francisco J Javier Lares
• Arlette Adele Large, LCSW , CADC III,
• Elizabeth Ann Larsen, LCSW
• Kim Larsen
• Cecilia Leighann Larson
• Kathryn Larson, LCSW
• Amy S Larum, RN
• Susan C Lashbrook, RN BSN
• Mark M Lau, M.D.
• Lawrence J Wieland MD

• Registered Nurse in Eureka, CA
• Providers in Eureka, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.