Individual provider · Type 1 NPI
Jill Katherine Larsen, PA
Medical Physician Assistant · Crosby, MN
NPI number
1316991086
Active
Practice location
320 E Main St
Crosby, MN 56441-1645
Fax (218) 546-4400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 9975 (MN) |
Medical Physician Assistant: Definition to come...
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About NPI 1316991086
Jill Katherine Larsen, PA's National Provider Identifier is 1316991086, issued on May 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Crosby, MN. The record was last updated on Nov 19, 2020.