TARA JO DEKAMP CPNP-PC NPI 1740958933

NPI Information

  • NPI: 1740958933
  • Provider Name: TARA JO DEKAMP, CPNP-PC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7999 FOLKS RD
    HANOVER, MI
    ZIP 49241
  • Phone: (517) 250-0800

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NPI Details

Tara Jo Dekamp, CPNP-PC is a pediatrics nurse practitioner in Hanover, MI. Tara Jo Dekamp, CPNP-PC NPI is 1740958933. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7999 FOLKS RD
HANOVER, MI
ZIP 49241-784
Phone: (517) 250-0800

The NPI 1740958933 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 6/22/2022.

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
1363LP0200XNurse PractitionerPediatrics4704304674MICHIGANYes

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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