Individual provider · Type 1 NPI

Jayne M. Larson, C.P.N.P.

Pediatric Nurse Practitioner · Apple Valley, MN

NPI number 1891787297 Active

Practice location

14135 Cedar Ave, Suite 100
Apple Valley, MN 55124-4522

Fax (952) 997-5679

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR111622-3 (MN)
Pediatric Nurse Practitioner 363LP0200XNone listed

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1891787297

Jayne M. Larson, C.P.N.P.'s National Provider Identifier is 1891787297, issued on Aug 22, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Apple Valley, MN. The record was last updated on Jul 13, 2026.