Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE L DEJONG, PHYSICIAN ASSISTANT
ActiveDIANE L DEJONG, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in SULLY, Iowa. NPI 1124008354 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SULLY, IA
Registration Details
- NPI Number
- 1124008354
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2006 (20.517942859093 yrs)
- Last Updated
- Aug 31, 2022
- Licenses
-
001494 (IA)001494 (IA)
Practice Information
- Address
-
704 3RD STSULLY, IA, 502511016Browse IA providers · Browse ZIP 50251
- Phone
- 6415943150
- Fax
- 6415943795
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.