NPI 1013147503

Jennifer Johnson Slade, CPNPPC

Practitioner Pediatric Nurse Practitioner Macon, GA

Practice location

Address: 1508 Hardeman Ave STE B, Macon, GA 31201-1471
Phone: (478) 741-7337

Registered specialties

Pediatric Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence RN117428 NP (GA)

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Registry record

NPI: 1013147503
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2009
Record last updated: 6 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.