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Randall Lee De Jong, ARNP
Family Nurse Practitioner in Everett, Washington
NPI 1285716761

Randall Lee De Jong is a Family Nurse Practitioner based in Everett, WA and is specialized in Family. Randall Lee De Jong practices in Everett, WA and has the professional credentials of ARNP. The NPI Number for Randall Lee De Jong is 1285716761 and holds a License No. AP30004081 (Washington).

The current practice location address for Randall Lee De Jong is 916 Pacific Ave, Everett, WA and can be reached out via phone at 425-258-7390 and via fax at 425-258-7379.

Location: 916 Pacific Ave, Everett, WA, 98201-1409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285716761
Provider Name
Randall Lee De Jong
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
916 Pacific Ave, Everett, WA, 98201-1409
Phone Number
425-258-7390
Fax Number
425-258-7379
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9631052 05 WA
institution
Provider Business Practice Location Address Details
Address
916 Pacific Ave
City
Everett
State
Washington
Zip
98201-4147
Phone Number
425-258-7390
Fax Number
425-258-7379
person
Provider Business Mailing Address Details
Address
916 Pacific Ave
City
Everett
State
Washington
Zip
98201-4147
Phone Number
425-258-7390
Fax Number
425-258-7379
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP30004081 (Washington)
Definition
Definition to come...
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