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JAMIE LAUREN DEKORTE RN BSN NPI 1417201336


NPI Information

NPI: 1417201336
Provider Name: JAMIE LAUREN DEKORTE, RN, BSN
Classification: Registered Nurse - 163WR0400X
Entity Type: Individual

Specialization: Rehabilitation

Address:
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 464-0279
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Jamie Lauren Dekorte, RN, BSN is a rehabilitation registered nurse in Grand Rapids, MI. Jamie Lauren Dekorte, RN, BSN NPI is 1417201336. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1490 E BELTLINE AVE SE
GRAND RAPIDS, MI
ZIP 49506-336
Phone: (616) 464-0279
Fax: (616) 301-1971

The enumeration date for this NPI number is 10/30/2012 and was last updated on 10/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WR0400XRegistered NurseRehabilitation4704222608MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14704222608OTHERMICHIGANNURSING LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.