DoctorLicensePro

Dr. Jack Larsen

Family Medicine

NPI: 1972063444 Tennessee
70/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice9/15

7 years

Data Freshness6/10

Updated 895 days ago

License Status

FloridaActive
License #

180154

Issued

Mar 16, 2026

Expires

Jan 31, 2028

Practice Information

Address
917 W WALNUT ST
JOHNSON CITY, TN 37604
Phone
(423) 439-6464
In Practice Since
March 21, 2019
Data Last Updated
January 18, 2024

NPI Details

NPI Number
1972063444
Status
Active
Taxonomy Code
207Q00000X
Data sourced from CMS NPPES public database. Last verified: January 18, 2024. Report an error