| Doctor Name: | ASHLEY J LARSEN |
| NPI Number: | 1144301458 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | 200067 |
| Business Practice Address: | 22a Doctors Dr Ocean Springs, MS - 395645721 |
| Business Phone Number: | 2288721951 |
| Business Fax Number: | 2288759998 |
| Mailing Address: | 22a Doctors Dr, OCEAN SPRINGS |
| State: | MS |
| Postal Code: | 395645721 |
| Phone Number: | 2288721951 |
| Fax Number: | 2288759998 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 01/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 200067 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |