Individual provider · Type 1 NPI

Jennifer Ruth Larson, PA-C

Physician Assistant · Shakopee, MN

NPI number 1285684555 Active

Practice location

1515 Saint Francis Ave, Suite 150
Shakopee, MN 55379-3387

Call (952) 403-3399 Map

Fax (952) 403-3390

Mailing address

21195 Radisson Rd
Shorewood, MN 55331-9189

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9789 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1285684555

Jennifer Ruth Larson, PA-C's National Provider Identifier is 1285684555, issued on May 10, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shakopee, MN. The record was last updated on Jul 13, 2026.