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

Larissa Ann Jackline, CRNP

Individual provider Family Nurse Practitioner · NPI 1316327265

Larissa Ann Jackline, CRNP is a Nurse Practitioner in Pittsburgh, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Ucmg LLC, a 258-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2015
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

2000 Mary St Ste 2500
Pittsburgh, PA 15203-2054
Phone: (412) 488-5705
Fax: (412) 488-5206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP014869 (PA)

Record details

NPI number1316327265
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 5, 2015
Last updated in NPPESJune 5, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ucmg Llc — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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