Individual
DR. JESSICA LEA SLOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4062 WEST ROYAL DRIVE, TRAVERSE CITY, MI 49684-8965
(231) 935-0338
(231) 935-3421
Mailing address
4062 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 935-0338
(231) 935-3421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301084018
MI
207RN0300X
Nephrology Physician
Primary
4301084018
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301084018
MI
Other
Enumeration date
04/06/2007
Last updated
11/21/2025
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