Provider Demographics
NPI:1962618900
Name:SLAUGHTER, JOHN HARRIS (NP)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:HARRIS
Last Name:SLAUGHTER
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1153 CALLE DULCE
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-7018
Mailing Address - Country:US
Mailing Address - Phone:619-216-0522
Mailing Address - Fax:
Practice Address - Street 1:480 FOURTH AVE, STE 409
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-4410
Practice Address - Country:US
Practice Address - Phone:619-425-2080
Practice Address - Fax:619-425-8410
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA12675363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health