Individual provider · Type 1 NPI

Jason Alexander Lange

Family Nurse Practitioner · East Waterboro, ME

NPI number 1699449082 Active

Practice location

43 Sokokis Trl
East Waterboro, ME 04030-5400

Call (207) 247-6742 Map

Fax (207) 247-6114

Mailing address

48 Avon St
Portland, ME 04101-2364

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X202105402NP-PP (OR)
Family Nurse Practitioner Primary 363LF0000XCNP211177 (ME)

Family Nurse Practitioner: Definition to come...

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About NPI 1699449082

Jason Alexander Lange's National Provider Identifier is 1699449082, issued on Aug 9, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East Waterboro, ME. The record was last updated on May 14, 2024.