person
Candace Jo Nicholas, NP
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1184138349

Candace Jo Nicholas is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Candace Jo Nicholas practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Candace Jo Nicholas is 1184138349 and holds a License No. 71007702A (Indiana).

The current practice location address for Candace Jo Nicholas is 2520 E Dupont Rd, Fort Wayne, IN and can be reached out via phone at 260-344-4035 and via fax at 260-969-9272.

Location: 2520 E Dupont Rd, Fort Wayne, IN, 46804-6203
person
Provider Profile Details
NPI Number
1184138349
Provider Name
Candace Jo Nicholas
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2520 E Dupont Rd, Fort Wayne, IN, 46804-6203
Phone Number
260-344-4035
Fax Number
260-969-9272
Provider Enumeration Date
11/27/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2520 E Dupont Rd
City
State
Zip
46825-1675
Phone Number
260-344-4035
Fax Number
260-969-9272
person
Provider Business Mailing Address Details
Address
2520 E Dupont Rd
City
State
Zip
46825-1675
Phone Number
260-344-4035
Fax Number
260-969-9272
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71007702A (Indiana)
Definition
Definition to come...
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