JENNIFER JOHNSON SLADE CPNP-PC NPI 1013147503

NPI Information

NPI: 1013147503
Provider Name: JENNIFER JOHNSON SLADE, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
3888 NORTHSIDE DR
MACON, GA
ZIP 31210
Phone: (478) 477-4044
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Jennifer Johnson Slade, CPNP-PC is a pediatrics nurse practitioner in Macon, GA. Jennifer Johnson Slade, CPNP-PC NPI is 1013147503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3888 NORTHSIDE DR
MACON, GA
ZIP 31210-417
Phone: (478) 477-4044
Fax: (478) 477-7076

The enumeration date for this NPI number is 7/20/2009 and was last updated on 7/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	RN117428 NP	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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