Stephanie Detamore De Jager, N.P. is a pediatrics nurse practitioner in Dallas, TX. Stephanie Detamore De Jager, N.P. NPI is 1790981470. 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:
2222 WELBORN ST
DALLAS, TX
ZIP 75219-924
Phone: (214) 559-5000
Fax: (214) 443-7309
The NPI 1790981470 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 6/21/2007 and was last updated on 7/25/2019.