Individual
JESSICA LAUREN LANGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2055 MILITARY TRL STE 200, JUPITER, FL 33458-7830
(561) 694-7776
(561) 694-3099
Mailing address
4215 BURNS RD STE 200, PALM BEACH GARDENS, FL 33410-4625
(561) 694-7776
(561) 694-3099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11003314
FL
363LF0000X
Family Nurse Practitioner
11003314
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1987
PERSONAL
—
Enumeration date
11/01/2019
Last updated
01/09/2020
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