Jacie Lauren Slocum, RDN, LD, CDCES | |
1011 E Montclair St, Springfield, MO 65807-5075 | |
(417) 269-1010 | |
(417) 269-6755 |
Full Name | Jacie Lauren Slocum |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1011 E Montclair St, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558872580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86065446 (Texas) | Primary |
Provider Name | Lubbock County Hospital District |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487993630 PECOS PAC ID: 6709028954 Enrollment ID: O20130819000007 |
Mailing Address | Practice Location Address |
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Jacie Lauren Slocum, RDN, LD, CDCES 3007 106th St, Lubbock, TX 79423-6701 Ph: () - | Jacie Lauren Slocum, RDN, LD, CDCES 1011 E Montclair St, Springfield, MO 65807-5075 Ph: (417) 269-1010 |
Frances H Bunch, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-820-2000 | |
Noah Lee Alldredge, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1901 E Bennett St Ste D, Springfield, MO 65804 Phone: 417-881-1900 Fax: 417-881-1237 | |
Mr. Samuel Bryan Yarrow, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 960 E Walnut Lawn St Ste 203, Springfield, MO 65807 Phone: 417-269-3904 | |
Rebecca Sue Holcomb, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-3031 | |
Dana S Nippes, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000 | |
Janice M Long-connelly, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2474 Fax: 417-820-4539 | |
Emily Bigley, R.D. L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 960 E Walnut Lawn St, Springfield, MO 65807 Phone: 417-269-3900 |