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NPI Code Detail

MEDICARE: MS. JILL DEANNE LANGLEY CPNP-PC

MEDICARE: MS. JILL DEANNE LANGLEY CPNP-PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner2832082FL
2363LP0200XPediatric Nurse Practitioner292120NC

General Provider Information

NPI Number : 1194161414
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JILL DEANNE LANGLEY CPNP-PC
Provider Business Mailing Address
First Line : 1188 SKYLAND DR
Second Line :
City : SYLVA
State : NC
Zip : 28779-8002
Country : US
Telephone Number : 828-339-2273
Fax Number : 828-339-2274
Provider Business Practice Location Address
First Line : 1188 SKYLAND DR
Second Line :
City : SYLVA
State : NC
Zip : 28779-8002
Country : US
Telephone Number : 828-339-2273
Fax Number : 828-339-2274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2013
Last Update Date : 05/08/2024

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