Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Webster David Slack Jr., RN

Individual provider General Practice Registered Nurse · NPI 1104582246

Mr. Webster David Slack Jr., RN is a General Practice Registered Nurse in Santa Clarita, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

24790 Valley St
Santa Clarita, CA 91321-2629
Phone: (661) 670-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 718243 (CA)

Record details

NPI number1104582246
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedNovember 12, 2021
Last updated in NPPESNovember 12, 2021
Certification dateNovember 12, 2021

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