Individual
JASON LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3808 NICOLLET AVE, MINNEAPOLIS, MN 55409-1304
(612) 369-7494
(612) 225-1869
Mailing address
3808 NICOLLET AVE, MINNEAPOLIS, MN 55409-1304
(612) 369-7494
(612) 225-1869
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2484939
MN
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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