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Jordan Landon Lange, AGACNP-BC
Acute Care Nurse Practitioner in West Plains, Missouri
NPI 1881451235

Jordan Landon Lange is an Acute Care Nurse Practitioner based in West Plains, MO and is specialized in Acute Care. Jordan Landon Lange practices in West Plains, MO and has the professional credentials of AGACNP-BC. The NPI Number for Jordan Landon Lange is 1881451235 and holds a License No. 2024008286 (Missouri).

The current practice location address for Jordan Landon Lange is 9652 Private Road 8623, West Plains, MO and can be reached out via phone at 573-690-5521.

Location: 9652 Private Road 8623, West Plains, MO, 65775-5933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881451235
Provider Name
Jordan Landon Lange
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Male
Address
9652 Private Road 8623, West Plains, MO, 65775-5933
Phone Number
573-690-5521
Fax Number
Provider Enumeration Date
03/04/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
9652 Private Road 8623
City
West Plains
State
Missouri
Zip
65775-5933
Phone Number
573-690-5521
Fax Number
person
Provider Business Mailing Address Details
Address
9652 Private Road 8623
City
West Plains
State
Missouri
Zip
65775-5933
Phone Number
573-690-5521
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
2024008286 (Missouri)
Definition
Definition to come...
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