Individual
JAMIE SLADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4620 JEFFERSON LN NE, ALBUQUERQUE, NM 87109-2120
(800) 678-4611
(770) 234-5326
Mailing address
5788 ROSWELL RD, ATLANTA, GA 30328-4904
(800) 678-4611
(770) 234-5326
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2010-0077
NM
363AM0700X
Medical Physician Assistant
MA054464
PA
Other
Enumeration date
10/19/2010
Last updated
03/30/2026
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