Individual provider · Type 1 NPI

Ashley J. Larsen, PAC

Medical Physician Assistant · Ocean Springs, MS

NPI number 1144301458 Active

Practice location

3635 Bienville Blvd
Ocean Springs, MS 39564-5711

Call (228) 872-1951 Map

Fax (228) 875-9998

Mailing address

2101 Highway 90
Gautier, MS 39553-5340

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00156 (MS)
Surgical Physician Assistant 363AS0400X200067 (LA)
Critical Care Medicine Nurse Practitioner 363LC0200XPA00156 (MS)
Medical Physician Assistant 363AM0700XPA-519 (AL)

Medical Physician Assistant: Definition to come...

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About NPI 1144301458

Ashley J. Larsen, PAC's National Provider Identifier is 1144301458, issued on Oct 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ocean Springs, MS. The record was last updated on Apr 16, 2026.