Provider Demographics
NPI:1033361373
Name:LANGSTON, JESSICA KAPLAN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:KAPLAN
Last Name:LANGSTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3916 N POTSDAM AVE # 4544
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-7048
Mailing Address - Country:US
Mailing Address - Phone:919-698-6009
Mailing Address - Fax:
Practice Address - Street 1:6500 RED HOOK PLZ STE 205
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-1346
Practice Address - Country:US
Practice Address - Phone:340-775-2303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-17
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC204797363LP2300X, 363LF0000X
VI200114363LF0000X
OR10002904363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care