Jennifer L Dejong, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R26072 Issued in ND

Practice address

3838 12TH Ave N
Fargo, ND 58102-2931

Phone

(701) 233-4700

Fax

(701) 234-4757

NPI assigned

Jul 24, 2006

Last updated

Sep 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1255353744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 12TH AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022931",
            "telephone_number": "701-233-4700",
            "fax_number": "701-234-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 12TH AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022931",
            "telephone_number": "701-233-4700",
            "fax_number": "701-234-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJONG",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R26072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Tarryn Degenstein, LPCC
• Krissy Degroat
• Rachel Marie Dehoogh, APRN,CNP
• Saraya Deibert
• Jonathan W Deitz, D.C.
• Anushka Dekhne
• Silvia M Dekrey, MS
• Peter John Dela Cruz
• Arturo Delacruz
• Laura Marie Delage, CNP

• Nurse Practitioner in Fargo, ND
• Providers in Fargo, ND by specialty
• Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.