Individual provider · Type 1 NPI

Kelly Dejong, FNP-C

Family Nurse Practitioner · Munster, IN

NPI number 1417329707 Active

Practice location

9900 Columbia Ave
Munster, IN 46321-4008

Fax (219) 934-2658

Mailing address

PO Box 3329
Munster, IN 46321-0329

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71005868A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1417329707

Kelly Dejong, FNP-C's National Provider Identifier is 1417329707, issued on Oct 26, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Munster, IN. The record was last updated on Feb 12, 2025.