Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA JO DEKAMP, CPNP-PC
Active Sole ProprietorTARA JO DEKAMP, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in HANOVER, Michigan. NPI 1740958933 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · HANOVER, MI
Registration Details
- NPI Number
- 1740958933
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 1, 2021 (4.9090664610121 yrs)
- Last Updated
- Jun 22, 2022
- License
-
4704304674 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7999 FOLKS RDHANOVER, MI, 492419784Browse MI providers · Browse ZIP 49241
- Phone
- 5172500800
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
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.