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NPI Code Detail

MEDICARE: JANE LAND CHAMPION MSN-ANP

MEDICARE: JANE LAND CHAMPION MSN-ANP
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
1363LA2200XAdult Health Nurse Practitioner716846TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780955393
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE LAND CHAMPION MSN-ANP
Provider Business Mailing Address
First Line : 5730 EXECUTIVE DR STE 230
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-1762
Country : US
Telephone Number : 410-402-2379
Fax Number :
Provider Business Practice Location Address
First Line : 8000 FRANKFORD RD
Second Line :
City : DALLAS
State : TX
Zip : 75252-6894
Country : US
Telephone Number : 972-232-8080
Fax Number : 800-281-9558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2012
Last Update Date : 02/25/2026

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Directions to “ JANE LAND CHAMPION MSN-ANP” Practice Location

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