Individual
JENNIFER LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1454 ROANOKE RD, DALEVILLE, VA 24083-2935
(540) 992-3600
(540) 992-5570
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180022
VA
Other
Enumeration date
09/08/2020
Last updated
12/22/2025
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