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Contact Information

JILL R LARSEN, PA-C
11 DOCTORS DR
OCEAN SPRINGS, MS39564-5709
 Phone: 228-872-2403
 Fax: 228-875-7584
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JILL R LARSEN · (Female)

NPI Number 1861672909
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/06/2007
Last updated 09/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AL License # TA1635
  • MS License # 00111
  • MS License # PA00111
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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