Individual provider · Type 1 NPI
Randall Lee De Jong, ARNP
Psychiatric/Mental Health Nurse Practitioner · Everett, WA
NPI number
1285716761
Active
Practice location
916 Pacific Ave, 1 South
Everett, WA 98201-4147
Fax (425) 258-7379
Mailing address
909 N Broadway, Pbo
Everett, WA 98201-1409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP30004081 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1285716761
Randall Lee De Jong, ARNP's National Provider Identifier is 1285716761, issued on Oct 20, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Everett, WA. The record was last updated on Nov 7, 2025.