NPI 1033757877

Jessica Dixon-Tatum, LPN

Practitioner Nursing Care Agency Buckeye, AZ

Practice location

Address: 401 N 6th St, Buckeye, AZ 85326-2415
Phone: (623) 401-6331
Fax: (623) 233-6331

Registered specialties (5)

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence 8900919 (AZ)

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Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X Licence LP040900 (AZ)

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Home Health Agency

Agencies Taxonomy 251E00000X Licence 8900919 (AZ)

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Foster Care Agency

Agencies Taxonomy 253J00000X Licence 8900919 (AZ)

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Child Mental Illness Respite Care

Respite Care Facility Taxonomy 385HR2055X Licence 8900919 (AZ)

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Registry record

NPI: 1033757877
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2019
Record last updated: 2 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.