JEANNE MARIE LARSON FNP-BC
NPI 1073743993
Nurse Practitioner - Family in Fayetteville, NC
Active since July 27, 2009
About Jeanne Marie Larson Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANNE MARIE LARSON FNP-BC (NPI 1073743993) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (5012149) and active in the NPI registry since July 2009.
NPPES Registry Identity
NPI1073743993
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEANNE MARIE LARSONCredential: FNP-BC
Location Address522 OWEN DRFayetteville, NC 28304-3432
Mailing Address7496 Rockfish RdFayetteville, NC 28306-8076 · (910) 424-2905
Phone(910) 484-7183
Sole ProprietorNo
Enumeration DateJuly 27, 2009
Last NPPES UpdateNovember 7, 20224 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
✔ NPI 1073743993 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5012149
522 OWEN DR, Fayetteville, NC 28304
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073743993, enumerated as an "individual" on July 27, 2009.
The provider is located at 522 OWEN DR FAYETTEVILLE, NC 28304 and the phone number is (910) 484-7183.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
