Individual
JODI LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R211302-1
MN
163WA2000X
Administrator Registered Nurse
Primary
R211302-1
MN
Other
Enumeration date
01/21/2025
Last updated
03/03/2026
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