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Contact Information

JESSICA DIXON TATUM, LPN
401 N 6TH ST
BUCKEYE, AZ85326-2415
 Phone: 623-401-6331
 Fax: 623-233-6331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Foster Care Agency

253J00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Licensed Practical Nurse

164W00000X
 

Respite Care, Mental Illness, Child

385HR2055X
Indicates primary specialty

NPI Profile & details for JESSICA DIXON TATUM · (Female)

NPI # 1033757877
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 12/11/2019
Last updated 04/02/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 8900919
  • AZ License # LP040900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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