Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emily Jackson Larsen

Individual provider Family Nurse Practitioner · NPI 1164267191

Emily Jackson Larsen is a Nurse Practitioner in Glendale, Arizona. Qualified in 2024, 2 years ago. Practices with Foot and Ankle Specialists of Arizona PLLC, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
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Practice location Address checks out

18301 N 79th Ave Ste F168
Glendale, AZ 85308-6045
Phone: (623) 544-9090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7727 W Deer Valley Rd Ste 215, Peoria, AZ 85382-2121 — (623) 404-2244

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 313215 (AZ)

Record details

NPI number1164267191
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 1, 2024
Last updated in NPPESMay 26, 2025
Certification dateMay 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Foot And Ankle Specialists Of Arizona Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glendale