Slade, Jennifer Johnson

Slade, Jennifer Johnson is an individual health care provider with primary practice located at 3888 Northside Dr , Macon GA 31210-2417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Slade, Jennifer Johnson can be contacted via phone (478) 477-4044.

Contact Information

Primary practice address
3888 Northside Dr Macon GA 31210-2417
Phone: (478) 477-4044
Fax: (478) 477-7076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN117428 NP Georgia

Profile Details

NPI number 1013147503
LBN Legal business name Slade, Jennifer Johnson
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2009
Last updated Jul 20th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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