Individual
JAMIE LYN LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
1431 W 350 S, LEHI, UT 84043-3679
(765) 506-8042
Mailing address
822 S 1040 W, PAYSON, UT 84651-4614
(801) 609-2448
(801) 609-2447
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13337252-4405
UT
Other
Enumeration date
06/16/2023
Last updated
08/19/2024
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