Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEROME JOSEPH DEDECKER
Active Sole ProprietorJEROME JOSEPH DEDECKER is a Registered Nurse healthcare provider located in SELIGMAN, Arizona. NPI 1225603327 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · SELIGMAN, AZ
Registration Details
- NPI Number
- 1225603327
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2021 (5.2778084819032 yrs)
- Last Updated
- May 21, 2021
- License
-
B12876871 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
26827 FORTROCK RDSELIGMAN, AZ, 86337Browse AZ providers · Browse ZIP 86337
- Phone
- 9285834245
- Primary Specialty
-
Registered Nurse
163W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.