; NPI #1033757877

Contact Information

JESSICA DIXON TATUM, LPN

401 N 6TH ST
BUCKEYE, AZ 85326-2415

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

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NPI Profile & details for

NPI # 1033757877

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 12/11/2019

Last updated 04/02/2025 - More than a year ago

Identifiers

AZ	License #	8900919
AZ	License #	LP040900

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Nursing Care

Foster Care Agency

Home Health

Licensed Practical Nurse

Respite Care, Mental Illness, Child

NPI Profile & details for

Reviews for JESSICA DIXON TATUM