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General NPI Number Information
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NPI Number | 1962309666
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Entity Type | Organization
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Legal Business Name | FUSION WOUND CARE LLC
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Dates
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Enumeration Date | 10/24/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 18515 W MARSHALL AVE
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-6226
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Country | US
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Telephone | 602-565-6269
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1715
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-1715
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Country | US
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Telephone | 602-565-6269
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Fax | 877-552-1678
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Authorized Official
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Title or Position | OWNER
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Name | SALLIE DELILLIAN JESSEE
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Credential |
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Telephone | 602-565-6269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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