MS. LATISHA LYNNE DEYOUNG NP NPI 1659536688

NPI Information

  • NPI: 1659536688
  • Provider Name: MS. LATISHA LYNNE DEYOUNG, NP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 360 LAFAYETTE AVE SE STE 400
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 486-6870

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NPI Details

MS. Latisha Lynne Deyoung, NP is an acute care nurse practitioner in Grand Rapids, MI with 21 years of experience. MS. Latisha Lynne Deyoung, NP NPI is 1659536688. 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:

360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI
ZIP 49503-677
Phone: (616) 486-6870

The NPI 1659536688 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2008 and was last updated on 10/28/2024.

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
1363LA2100XNurse PractitionerAcute Care4704202168MICHIGANYes

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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