Jean Teresa Larson (NPI# 1801257332, PAC ID# 6507163763) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1801257332 |
| PAC ID by PECOS | 6507163763 |
| Professional Enrollment ID | I20160404000028 |
| Full Name | Jean Teresa Larson |
| Organization Legal Name | SOUTHERN CITIES CLINIC |
| Address |
400 4th St Nw Faribault MN 55021-5031 |
| Phone Number | 5073846830 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517912991 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 400 4th St Nw, Faribault, MN 55021-5031 | 5073846830 | SOUTHERN CITIES CLINIC |
| Organization Legal Name | SOUTHERN CITIES CLINIC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol J Peitzman | Certified Clinical Nurse Specialist (cns) | Southern Cities Clinic | 400 4th St Nw, Faribault, MN 55021-5031 |
| Peter S Miller | Neuropsychiatry | Southern Cities Clinic | 400 4th St Nw, Faribault, MN 55021-5031 |
| Bryan Ricardo Carleton | Nurse Practitioner | Southern Cities Clinic | 400 4th St Nw, Faribault, MN 55021-5031 |
| Street Address |
400 4TH ST NW |
| City | FARIBAULT |
| State | MN |
| Zip | 55021-5031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol J Peitzman | Certified Clinical Nurse Specialist (cns) | Southern Cities Clinic | 400 4th St Nw, Faribault, MN 55021-5031 |
| Peter S Miller | Neuropsychiatry | Southern Cities Clinic | 400 4th St Nw, Faribault, MN 55021-5031 |
| Bryan Ricardo Carleton | Nurse Practitioner | Southern Cities Clinic | 400 4th St Nw, Faribault, MN 55021-5031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Murray H Hanson | Optometry | Eye Clinic of Faribault, Pa | 2500 - 14th St Ne, Faribault, MN 55021-2514 |
| Paul H Hougan | Physical Therapy | 1620 Nw 17th St, Faribault, MN 55021-2839 | |
| Steven W Potter | Chiropractic | 1620 Nw 17th St, Faribault, MN 55021-2839 | |
| Francine M Kovash | Physical Therapy | Therapy Werks Pa | 1620 Nw 17th St, Faribault, MN 55021-2839 |
| Angella Lynn Schaefer | Optometry | Eye Clinic of Faribault, Pa | 1575 Nw 20th St, Faribault, MN 55021-2930 |
| Andrea Berube | Certified Registered Nurse Anesthetist (crna) | 1575 20th St Nw, 205a, Faribault, MN 55021-2930 | |
| Michael G Richie | Ophthalmology | Eye Clinic of Faribault, Pa | 1575 Nw 20th St, Faribault, MN 55021-2930 |
| Misty J Piller | Optometry | Eye Clinic of Faribault, Pa | 1575 - 20th St Nw, Suite 101, Faribault, MN 55021-2931 |
| Sandra K Paddock | Nurse Practitioner | Eye Clinic of Faribault, Pa | 1575 - 20th St Nw, Suite 101, Faribault, MN 55021-2931 |
| Bruce V Gustafson | Optometry | Eye Clinic of Faribault, Pa | 1575 - 20th St Nw, Suite 101, Faribault, MN 55021-2931 |
| Find all physicians in zip 55021 | |||
| City | FARIBAULT |
| Zip Code | 55021 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FARIBAULT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jean Teresa Larson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.