Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALYSSA NICOLE DEJONG, PA-C
ActiveALYSSA NICOLE DEJONG, PA-C is a Medical Physician Assistant healthcare provider located in STEPHENVILLE, Texas. NPI 1720699242 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · STEPHENVILLE, TX
Registration Details
- NPI Number
- 1720699242
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2020 (5.9960033412773 yrs)
- Last Updated
- Oct 11, 2023
- Licenses
-
PA15009 (TX)PA15009 (TX)
Practice Information
- Address
-
561 N GRAHAM ST UNIT 101STEPHENVILLE, TX, 764013555Browse TX providers · Browse ZIP 76401
- Phone
- 2549652663
- Fax
- 2549687979
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- 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.