Individual
JEANNE MARIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
522 OWEN DR, FAYETTEVILLE, NC 28304-3432
(910) 484-7183
Mailing address
7496 ROCKFISH RD, FAYETTEVILLE, NC 28306-8076
(910) 424-2905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012149
NC
Other
Enumeration date
07/27/2009
Last updated
11/07/2022
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