Individual
MRS. JENNIFER L LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
11051 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-3354
(608) 884-5022
Mailing address
11051 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-3354
(608) 884-5022
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8411
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417400490
—
WI
Enumeration date
07/26/2016
Last updated
03/28/2022
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