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Provider Profile

Jack Larsen

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Where to find Jack Larsen

About Jack Larsen

Jack Larsen is a healthcare provider in Johnson City, TN specializing in family medicine. This provider record is associated with NPI 1972063444.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2019

Specialty

Family Medicine (Primary)

Credentials & Licensing

TN licenceAs reported to the NPI registry
No. 63135As reported
NPINational Provider Identifier
1972063444Issued 2019

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jack Larsen specialize in?

Jack Larsen is a family doctor in Johnson City, TN. That is the designation recorded for this NPI in the federal registry, where it is listed as “Family Medicine”.

NPI registry

Where is Jack Larsen located?

Jack Larsen is listed at 917 W Walnut St, Johnson City, TN 37604. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jack Larsen's phone number?

The number on file is (423) 439-6464. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jack Larsen's NPI number?

Jack Larsen's National Provider Identifier is 1972063444. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jack Larsen train?

Jack Larsen attended Other, graduating in 2019. This comes from the CMS National Downloadable File.

CMS public data

How long has Jack Larsen been practicing?

Jack Larsen has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.

CMS public data

Has Jack Larsen confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jack Larsen. If this is you, claiming it is free.

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