Individual
JESSICA LAGRANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 353-5252
Mailing address
138 THE WOODS, BEDFORD, IN 47421-9300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28215999A
IN
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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