Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EMILY JACKSON LARSEN
Active Sole ProprietorEMILY JACKSON LARSEN is a Family Nurse Practitioner healthcare provider located in GLENDALE, Arizona. NPI 1164267191 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · GLENDALE, AZ
Registration Details
- NPI Number
- 1164267191
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2024 (2.139133243345 yrs)
- Last Updated
- May 26, 2025
- License
-
313215 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18301 N 79TH AVE STE F168GLENDALE, AZ, 853086045Browse AZ providers · Browse ZIP 85308
- Phone
- 6235449090
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in GLENDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| CHARLOTTE R PEAKE | FNP-C | 1497758726 |
| LESLEE JOAN TESTA | RNC, MSN, FNP-C | 1871592147 |
| DANA HOCK | FNP | 1053312801 |
| MS. CARMELA HAUSSER | FNP | 1386636199 |
| MR. GRANT WAYNE COOPER | MSCN FNP | 1205825148 |
| SHERYL NICCUM | NP | 1457332199 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.