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Individual

JAKOB SLUSHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
111 MAIN ST, QUITMAN, MS 39355-2119
(601) 557-5105
(601) 557-5106
Mailing address
111 MAIN ST, QUITMAN, MS 39355-2119
(601) 557-5105
(601) 557-5106

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
906964
MS
363L00000X
Nurse Practitioner
Primary
903964
MS

Other

Enumeration date
09/14/2020
Last updated
08/05/2025
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