Individual
JENNIFER SUZANNE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
225 INDIAN BLFS NE, SPARTA, MI 49345-8487
(616) 307-6552
Mailing address
225 INDIAN BLFS NE, SPARTA, MI 49345-8487
(616) 307-6552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704244839
MI
Other
Enumeration date
03/19/2025
Last updated
09/25/2025
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