Provider Demographics
NPI:1356301162
Name:LANGJAHR, JENET (FNP)
Entity type:Individual
Prefix:MRS
First Name:JENET
Middle Name:
Last Name:LANGJAHR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1523 W AVENUE J
Mailing Address - Street 2:SUITE #7
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2819
Mailing Address - Country:US
Mailing Address - Phone:661-945-2221
Mailing Address - Fax:661-945-0831
Practice Address - Street 1:1523 W AVENUE J
Practice Address - Street 2:SUITE #7
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2819
Practice Address - Country:US
Practice Address - Phone:661-945-2221
Practice Address - Fax:661-945-0831
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8422363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP03741Medicare UPIN
CAWNP8422BMedicare PIN