MEDICARE: JENNIFER LARSON DNP, CNM, CPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	LM197	AZ
2	367A00000X	Advanced Practice Midwife	253938	AZ
3	163WM0102X	Maternal Newborn Registered Nurse	253938	AZ

General Provider Information

NPI Number	:	1902248875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LARSON DNP, CNM, CPM

Provider Business Mailing Address
First Line	:	13220 S 154TH ST
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-4400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13220 S 154TH ST
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-4400
Country	:	US
Telephone Number	:	480-277-7775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2013
Last Update Date	:	06/09/2026

Similar Medicare Providers

1982539714 — ADRIAN RAMIREZ
Practice Location Address:

1519 S HIGLEY RD
GILBERT, AZ
85296-4793

Practice Phone: 855-223-7123
Practice Fax:

1083547954 — ALEXIS ROCKER
Practice Location Address:

1519 S HIGLEY RD
GILBERT, AZ
85296-4793

Practice Phone: 855-223-7123
Practice Fax:

1073873501 — CASSANDRA LYNN DURNAN M.S.
Practice Location Address:

1276 E CENTURY AVE
GILBERT, AZ
85296-1304

Practice Phone: 602-568-7420
Practice Fax:

1043144785 — GRACIE NELSON
Practice Location Address:

2276 E DEVON CT
GILBERT, AZ
85296-3929

Practice Phone: 480-710-8500
Practice Fax:

1316446719 — RAEANN FLANAGAN
Practice Location Address:

1519 S HIGLEY RD
GILBERT, AZ
85296-4793

Practice Phone: 855-223-7123
Practice Fax:

1326841305 — PRIME DIRECT HEALTH LLC
Practice Location Address:

690 E WARNER RD STE 131
GILBERT, AZ
85296-3057

Practice Phone: 480-571-5934
Practice Fax: 480-809-9310

Directions to “ JENNIFER LARSON DNP, CNM, CPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.