Lang, Jennifer Buckley

Lang, Jennifer Buckley is an individual health care provider with primary practice located at 1905 Blake Ave Suite 101, Glenwood Springs CO 81601-4288. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Other Service Providers / Midwife, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lang, Jennifer Buckley can be contacted via phone (970) 945-2840.

Contact Information

Primary practice address
1905 Blake Ave Suite 101 Glenwood Springs CO 81601-4288
Phone: (970) 945-2840
Fax: (970) 945-2893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0003241 Colorado
Other Service Providers / Midwife 176B00000X 0001726 Colorado
Nursing Service Providers / Registered Nurse 163W00000X 0109819 Colorado

Profile Details

NPI number 1386760791
LBN Legal business name Lang, Jennifer Buckley
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Dec 22nd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386760791 NPPES
Colorado MEDICAID 07109812

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