JACQUELINE BODIL LANGE FNP-BC APNP NPI 1558020636

NPI Information

NPI: 1558020636
Provider Name: JACQUELINE BODIL LANGE, FNP-BC, APNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
325 N CORPORATE DR STE 260
BROOKFIELD, WI
ZIP 53045
Phone: (262) 787-2980
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Jacqueline Bodil Lange, FNP-BC, APNP is a family nurse practitioner in Brookfield, WI. Jacqueline Bodil Lange, FNP-BC, APNP NPI is 1558020636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

325 N CORPORATE DR STE 260
BROOKFIELD, WI
ZIP 53045-828
Phone: (262) 787-2980

The enumeration date for this NPI number is 12/15/2021 and was last updated on 12/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	11398	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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