Jessica Lynn Larson, RN-BSN

Individual provider Active NPI Registered Nurse · Plainview, MN

NPI 1427730902 · NPPES record last updated Aug 3, 2023

Key facts

NPI
1427730902
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
2311221 (MN)
Practice address
125 2ND Ave NW
Plainview, MN 55964-1222
Phone
(563) 203-0572
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2311221MNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2311221 MN Yes

Addresses

Primary practice location

125 2ND Ave NW
Plainview, MN 55964-1222

Mailing address

125 2ND Ave NW
Plainview, MN 55964-1222
Phone (563) 203-0572

Other providers in Plainview, MN

All providers in Plainview, MN · Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.