JORDAN LANDON LANGE AGACNP-BC NPI 1881451235

NPI Information

  • NPI: 1881451235
  • Provider Name: JORDAN LANDON LANGE, AGACNP-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3801 S NATIONAL AVE STE 1122
    SPRINGFIELD, MO
    ZIP 65807
  • Phone: (417) 269-7728

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NPI Details

Jordan Landon Lange, AGACNP-BC is an acute care nurse practitioner in Springfield, MO. Jordan Landon Lange, AGACNP-BC NPI is 1881451235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3801 S NATIONAL AVE STE 1122
SPRINGFIELD, MO
ZIP 65807-090
Phone: (417) 269-7728
Fax: (417) 269-7729

The NPI 1881451235 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/4/2024 and was last updated on 5/1/2024.

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
1363LA2100XNurse PractitionerAcute Care2024008286MISSOURIYes

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: 3/30/2025

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