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Contact Information

ASHLEY J LARSEN, PAC
3635 BIENVILLE BLVD
OCEAN SPRINGS, MS39564-5711
 Phone: 228-872-1951
 Fax: 228-875-9998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Critical Care Medicine

363LC0200X 50 Nurse Practitioner
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ASHLEY J LARSEN · (Female)

NPI Number 1144301458
Status Active
Credentials PAC
Entity Individual
Enumeration date 10/17/2006
Last updated 04/16/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • AL License # PA-519
  • LA License # 200067
  • MS License # PA00156
  • LA Medicaid 1371866
  • MS Medicaid 06105593
  • MS Other 302I970729 MEDICARE
Hospital affiliation(s)
  • SINGING RIVER HOSPITAL - (Acute Care)
    2809 DENNY AV
    PASCAGOULA, MS 39581
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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