Individual
JORDAN LANDON LANGE
Active
Individual
JORDAN LANDON LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2024008286
MO
363LA2100X
Acute Care Nurse Practitioner
235430
AR
363LA2100X
Acute Care Nurse Practitioner
3-002934
AL
363LA2100X
Acute Care Nurse Practitioner
71018111A
IN
363LA2100X
Acute Care Nurse Practitioner
APRN-5820-0
HI
363LA2100X
Acute Care Nurse Practitioner
H190105
IA
Other
Enumeration date
03/04/2024
Last updated
06/25/2026
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