Jennifer Larson
Individual provider Active NPI Licensed Practical Nurse · Hutchinson, MN
NPI 1972178952 · NPPES record last updated May 23, 2021
Key facts
- NPI
- 1972178952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 819089 (MN)
- Practice address
- 1460 Montreal St SE
Hutchinson, MN 55350-3318 - Phone
- (320) 587-2509
- NPI assigned
- May 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 819089 | MN | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Drug Stores Inc | Past |
Accepting new patients | |
| Thrifty Drug Stores Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 819089 | MN | Yes |
Addresses
Primary practice location
1460 Montreal St SE
Hutchinson, MN 55350-3318
Mailing address
745 Century Ave SW Apt 203
Hutchinson, MN 55350-3736
Phone (320) 405-6467
Other providers in Hutchinson, MN
- Lakeside Mental Health
- Charles Lamp
- Linda S Landon
- Daniel Lang
- Andrew John Larson
- Lisa Susanne Larson
- Gail A Lehn
- Trisha Marie Lenarz
- Mariah A Lennander
- Terry Lewis
All providers in Hutchinson, MN · Licensed Practical Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2021. 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.