Individual provider · Type 1 NPI

Jordan Landon Lange, AGACNP-BC

Acute Care Nurse Practitioner · St. Louis, MO

NPI number 1881451235 Active

Practice location

100 S 4th St Ste 550
St. Louis, MO 63102-1897

Mailing address

PO Box 505673
St. Louis, MO 63150-5673

Other practice locations

  • 3800 S National Ave Ste 600, Springfield, MO 65807-5249 · (000) 000-0000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X2024008286 (MO)
Acute Care Nurse Practitioner 363LA2100X235430 (AR)
Acute Care Nurse Practitioner 363LA2100X3-002934 (AL)
Acute Care Nurse Practitioner 363LA2100X71018111A (IN)
Acute Care Nurse Practitioner 363LA2100XH190105 (IA)
Acute Care Nurse Practitioner 363LA2100XAPRN-5820-0 (HI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1881451235

Jordan Landon Lange, AGACNP-BC's National Provider Identifier is 1881451235, issued on Mar 4, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in St. Louis, MO. The record was last updated on Jun 25, 2026.