JENNIFER LARSEN PA-C - NPI 1669481776 - Physician Assistant in Wichita, KS

Q: What is Jennifer Larsen's NPI number?

The NPI number for Jennifer Larsen is 1669481776. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Q: What is Jennifer Larsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Larsen was last updated on December 31, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Jennifer Larsen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LARSEN PA-C (NPI 1669481776) is an individual medical provider in Wichita, Kansas, licensed in Kansas (15-00679) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1669481776

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJENNIFER LARSENCredential: PA-C

Location Address8533 E 32ND ST NWichita, KS 67226-2611

Mailing AddressPo Box 1358Wichita, KS 67201-1358 · (316) 293-3429 · Fax (855) 495-3229

Phone(316) 293-2622

Fax(855) 517-9494

Sole ProprietorNo

Enumeration DateAugust 7, 2006

Last NPPES UpdateDecember 31, 2014

✔ NPI 1669481776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in KS · 15-00679

8533 E 32ND ST N, Wichita, KS 67226

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS86535

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.

SARAH NICOLE ROOKER

Nurse Practitioner