Individual provider · Type 1 NPI
Alyssa Nicole Dejong, PA-C
Medical Physician Assistant · Stephenville, TX
NPI number
1720699242
Active
Practice location
561 N Graham St Unit 101
Stephenville, TX 76401-3555
Fax (254) 968-7979
Mailing address
561 N Graham St
Stephenville, TX 76401-3548
Other practice locations
- 202 E Jefferson Ave, Whitney, TX 76692-2398 · (254) 694-2221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA15009 (TX) |
| Physician Assistant | 363A00000X | PA15009 (TX) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1720699242
Alyssa Nicole Dejong, PA-C's National Provider Identifier is 1720699242, issued on Aug 10, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stephenville, TX. The record was last updated on Oct 11, 2023.