Individual
JENNIFER LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3624 BROOKS ST STE 101, MISSOULA, MT 59801-7338
(888) 227-3312
Mailing address
3624 BROOKS ST STE 101, MISSOULA, MT 59801-7338
(888) 227-3312
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
6338
MT
363L00000X
Nurse Practitioner
Primary
100183
MT
363LF0000X
Family Nurse Practitioner
AP61059800
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000374300
BLUE CROSS BLUE SHIELD
MT
05
—
4303788
—
MT
Enumeration date
05/13/2006
Last updated
06/23/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us