Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Jo Dekamp, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1740958933

Tara Jo Dekamp, CPNP-PC is a Pediatric Nurse Practitioner in Hanover, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

7999 Folks Rd
Hanover, MI 49241-9784
Phone: (517) 250-0800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 John St Ste M-351, Kalamazoo, MI 49007-5358 — (269) 341-8986

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 4704304674 (MI)

Record details

NPI number1740958933
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorYes
NPI enumeratedSeptember 1, 2021
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022