Individual provider · Type 1 NPI

Tara Jo Dekamp, CPNP-PC

Pediatric Nurse Practitioner · Hanover, MI

NPI number 1740958933 Active

Practice location

7999 Folks Rd
Hanover, MI 49241-9784

Call (517) 250-0800 Map

Other practice locations

601 John St Ste M-351, Kalamazoo, MI 49007-5358 · (269) 341-8986

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	4704304674 (MI)

Pediatric Nurse Practitioner: Definition to come...

About NPI 1740958933

Tara Jo Dekamp, CPNP-PC's National Provider Identifier is 1740958933, issued on Sep 1, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Hanover, MI. The record was last updated on Jun 22, 2022.