Physician Assistant, Medical
Mrs. JAMIE LARSEN PAC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1659410983 · enumerated 2007-02-05 · record updated 2024-05-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 25 CROSSROADS DR STE 306, OWINGS MILLS, MD, 21117-5437 (602) 222-1900 Google Maps Apple Maps OpenStreetMap
- Practice location 2530 E SOUTHERN AVE, MESA, AZ, 85204-5411 (480) 834-4188 Google Maps Apple Maps OpenStreetMap
Specialties
- Obstetrics & Gynecology, Gynecology 207VG0400X · License 57597411206 UT
- Physician Assistant, Medical 363AM0700X · License 57597411206 UT
- Physician Assistant, Medical 363AM0700X · Primary · License 5177 AZ
In this directory
Locations and evidence
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Practice location
MESA, AZ, 852045411
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.