Dejanae Shaquelle Weickum, LPN - Registered Nurse in Tacoma, WA

Dejanae Shaquelle Weickum, LPN is a Registered Nurse based in Tacoma, Washington. Dejanae Shaquelle Weickum is licensed to practice in Washington (license number RN61353026) and her current practice location is 721 Fawcett Ave, Tacoma, Washington. She can be reached at her office (for appointments etc.) via phone at (253) 597-6728.

NPI number for Dejanae Shaquelle Weickum is 1609492180 and her current mailing address is 14124 Meridian E Apt I107, Puyallup, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609492180.

Contact Information

Dejanae Shaquelle Weickum, LPN
721 Fawcett Ave,
Tacoma, WA 98402-5502
(253) 597-6728
Not Available

Map and Direction




Provider's Profile

Full NameDejanae Shaquelle Weickum
GenderFemale
SpecialityRegistered Nurse
Location721 Fawcett Ave, Tacoma, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609492180
  • Provider Enumeration Date: 06/22/2020
  • Last Update Date: 10/04/2022

Medical Identifiers

Medical identifiers for Dejanae Shaquelle Weickum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609492180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse LP61053332 (Washington)Secondary
163W00000XRegistered Nurse RN61353026 (Washington)Primary

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. Dejanae Shaquelle Weickum 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 AddressPractice Location Address
Dejanae Shaquelle Weickum, LPN
14124 Meridian E Apt I107,
Puyallup, WA 98373-6101

Ph: (253) 239-7998
Dejanae Shaquelle Weickum, LPN
721 Fawcett Ave,
Tacoma, WA 98402-5502

Ph: (253) 597-6728

Reviews and Comments


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