Individual
KRISTEN SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
110 N 2ND AVE, CHATSWORTH, GA 30705-2926
(706) 670-6488
(706) 973-3385
Mailing address
110 N 2ND AVE, CHATSWORTH, GA 30705-2926
(706) 670-6488
(706) 973-3385
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP216523
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN216523
GA
Other
Enumeration date
08/11/2021
Last updated
11/04/2025
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