Individual provider · Type 1 NPI
Jamie Lyn Lange, MSN, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Lehi, UT
NPI number
1093490104
Active
Practice location
1431 W 350 S
Lehi, UT 84043-3679
Mailing address
822 S 1040 W
Payson, UT 84651-4614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 13337252-4405 (UT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1093490104
Jamie Lyn Lange, MSN, APRN, PMHNP-BC's National Provider Identifier is 1093490104, issued on Jun 16, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lehi, UT. The record was last updated on Aug 19, 2024.