Individual
JAMIE C. LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
1 VETERAN DR., MINNEAPOLIS, MN 55417
(612) 467-6388
Mailing address
8875 204TH ST E, PRIOR LAKE, MN 55372-9380
(612) 384-0565
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
2079534
MN
363L00000X
Nurse Practitioner
Primary
7657
MN
363LF0000X
Family Nurse Practitioner
7657
MN
Other
Enumeration date
05/08/2018
Last updated
12/11/2023
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