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Individual

JEANNE S. SLUSHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-5000
(253) 968-4968
Mailing address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, TACOMA, WA 98433-1100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001001214
NC
363AM0700X
Medical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2759110
MEDICARE PTAN
NC
01
2759110A
MEDICARE PTAN
NC
Enumeration date
11/15/2006
Last updated
08/31/2023
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