Individual
JENNIFER JOHNSON SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1508 HARDEMAN AVE STE B, MACON, GA 31201-1471
(478) 741-7337
Mailing address
1508 HARDEMAN AVE STE B, MACON, GA 31201-1471
(478) 741-7337
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN117428 NP
GA
Other
Enumeration date
07/20/2009
Last updated
11/06/2025
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