John Larrison, APN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Metropolis, IL
NPI 1043663917 · NPPES record last updated Dec 19, 2018
Key facts
- NPI
- 1043663917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209014310 (IL)
- Practice address
- 28 Chick St Ste 100
Metropolis, IL 62960-2467 - Phone
- (618) 524-2176
- Fax
- (618) 524-4131
- NPI assigned
- Jul 15, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209014310 | IL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209014310 | IL | Yes |
Addresses
Primary practice location
28 Chick St Ste 100
Metropolis, IL 62960-2467
Mailing address
28 Chick St
Metropolis, IL 62960-2467
Phone (618) 524-2176
Other practice location 1
28 Chick St
Metropolis, IL 62960-2467
Phone (618) 524-2176 ext. 2382
Other practice location 2
1204 W 10th St
Metropolis, IL 62960-2433
Phone (618) 524-2176 ext. 2382
Other providers in Metropolis, IL
- Amy Krueger
- Bryan Krueger
- Krypton
- Kyle W Heine DMD PC
- Jeffrey Lange
- Eileen Patrice Laurence
- Timothy Lawson
- Timothy Hayes Lawson
- Danielle Lee
- Peggy Sue Legereit
All providers in Metropolis, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.