Individual provider · Type 1 NPI

Jessica Dixon-Tatum, LPN

Nursing Care Agency · Buckeye, AZ

NPI number 1033757877 Active

Practice location

401 N 6th St
Buckeye, AZ 85326-2415

Fax (623) 233-6331

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000XLP040900 (AZ)
Nursing Care Agency Primary 251J00000X8900919 (AZ)
Home Health Agency 251E00000X8900919 (AZ)
Foster Care Agency 253J00000X8900919 (AZ)
Child Mental Illness Respite Care 385HR2055X8900919 (AZ)

Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

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About NPI 1033757877

Jessica Dixon-Tatum, LPN's National Provider Identifier is 1033757877, issued on Dec 11, 2019. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in Buckeye, AZ. The record was last updated on Apr 2, 2025.