Individual
JENNA ROSE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8900
Mailing address
3000 32ND AVE S, FARGO, ND 58103-6132
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14402
MN
363LF0000X
Family Nurse Practitioner
Primary
205272
ND
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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