Individual
JENNIFER LARSON
Active
Individual
JENNIFER LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CNM, CPM
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
253938
AZ
176B00000X
Midwife
LM197
AZ
367A00000X
Advanced Practice Midwife
Primary
253938
AZ
374J00000X
Doula
—
—
Other
Enumeration date
07/22/2013
Last updated
07/02/2026
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