Provider Demographics
NPI:1477261451
Name:LANGOWSKI, JOCELYN MERCEDES
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:MERCEDES
Last Name:LANGOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6739 PRISM ST SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98513-4981
Mailing Address - Country:US
Mailing Address - Phone:228-369-9324
Mailing Address - Fax:
Practice Address - Street 1:6739 PRISM ST SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98513-4981
Practice Address - Country:US
Practice Address - Phone:228-369-9324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-09
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6614-42374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula