Eric Randall Dejong, AGACNP
Eric Randall Dejong, AGACNP is a Nurse Practitioner in Holland, Michigan. Graduated from Georgetown University School of Medicine in 2019, 7 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 7
- Trained at
- Georgetown University School of Medicine
- Licensed in
- MI
- In the registry since
- 2019
Practice location Address checks out
602 Michigan Ave Ste 102Holland, MI 49423-4918
Phone: (616) 494-8724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 4704295254 (MI) |
|---|
Record details
| NPI number | 1629619903 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AGACNP |
| Sole proprietor | No |
| NPI enumerated | October 8, 2019 |
| Last updated in NPPES | October 14, 2022 |
| Certification date | October 14, 2022 |
| Mailing address | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2019 (7 years in practice) |
| Group practice | Spectrum Health Primary Care Partners — 2303 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Holland
-
Brooke Renee McKinney, NP
250 E 8th St, Holland, MI 49423-3535 · (616) 494-5970
-
MS. Lisa Anne Ondersma, A-GNP
382 N 120th Ave, Holland, MI 49424-2169 · (616) 396-6516