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

Jerome Allen Larson, PSS

Individual provider Peer Specialist · NPI 1063055192

Jerome Allen Larson, PSS is a Peer Specialist in Milwaukee, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

3090 N 53rd St
Milwaukee, WI 53210-1617
Phone: (414) 254-4291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1063055192
Entity typeIndividual (Type 1)
GenderMale
Credentials PSS
Sole proprietorYes
NPI enumeratedOctober 22, 2019
Last updated in NPPESOctober 22, 2019

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