Jessica Dixon-tatum, LPN is a
Nursing Care based in Buckeye, Arizona. Jessica Dixon-tatum is licensed to practice in Arizona (license number 8900919) and her current practice location is
401 N 6th St, Buckeye, Arizona. She can be reached at her office (for appointments etc.) via phone at
(623) 401-6331.
NPI number for Jessica Dixon-tatum is 1033757877 and her current mailing address is 401 N 6th St, Buckeye, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033757877.
Provider's Profile
| Full Name | Jessica Dixon-tatum |
|---|
| Gender | Female |
|---|
| Speciality | Nursing Care |
|---|
| Location | 401 N 6th St, Buckeye, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033757877
- Provider Enumeration Date: 12/11/2019
- Last Update Date: 04/02/2025
Medical Identifiers
Medical identifiers for Jessica Dixon-tatum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033757877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | LP040900 (Arizona) | Secondary |
| 251J00000X | Nursing Care | 8900919 (Arizona) | Primary |
| 251E00000X | Home Health | 8900919 (Arizona) | Secondary |
| 253J00000X | Foster Care Agency | 8900919 (Arizona) | Secondary |
| 385HR2055X | Respite Care - Respite Care, Mental Illness, Child | 8900919 (Arizona) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Dixon-tatum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jessica Dixon-tatum, LPN 401 N 6th St, Buckeye, AZ 85326-2415 Ph: (623) 698-8210 | Jessica Dixon-tatum, LPN 401 N 6th St, Buckeye, AZ 85326-2415 Ph: (623) 401-6331 |
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