Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerome Joseph Dedecker

Individual provider Registered Nurse · NPI 1225603327

Jerome Joseph Dedecker is a Registered Nurse in Seligman, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2021

Practice location Address checks out

26827 Fortrock Rd
Seligman, AZ 86337
Phone: (928) 583-4245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence B12876871 (AZ)

Record details

NPI number1225603327
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 21, 2021
Last updated in NPPESMay 21, 2021
Certification dateMay 10, 2021