Individual
MRS. JENNIFER LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNM
Contact information
Practice address
1723 BROADWAY ST STE 315, CAPE GIRARDEAU, MO 63701-4556
(573) 388-4846
(573) 388-7635
Mailing address
PO BOX 1068, SIKESTON, MO 63801-1068
(573) 471-0330
(573) 481-5019
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
20788
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891160164
—
MO
Enumeration date
12/11/2015
Last updated
07/21/2022
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