TRACY DEJONGE NPI 1487569000

NPI Information

  • NPI: 1487569000
  • Provider Name: TRACY DEJONGE
  • Classification: Registered Nurse - 163WP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 671 N EVERGREEN ST
    PLYMOUTH, MI
    ZIP 48170
  • Phone: (908) 217-9516

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NPI Details

Tracy Dejonge is a pediatrics registered nurse in Plymouth, MI. Tracy Dejonge NPI is 1487569000. 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:

671 N EVERGREEN ST
PLYMOUTH, MI
ZIP 48170-176
Phone: (908) 217-9516

The enumeration date for this NPI number is 8/18/2026 and was last updated on 8/18/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0200XRegistered NursePediatrics4704349092MICHIGANYes

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: 11/21/2025

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