person
Candice Latrice Jackson
Family Nurse Practitioner in Indianapolis, Indiana
NPI 1346705720

Candice Latrice Jackson is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Candice Latrice Jackson practices in Indianapolis, IN. The NPI Number for Candice Latrice Jackson is 1346705720 and holds a License No. 28209099A (Indiana).

The current practice location address for Candice Latrice Jackson is 8325 E Southport Rd Ste 100, Indianapolis, IN and can be reached out via phone at 317-862-6609 and via fax at 317-862-4617.

Location: 8325 E Southport Rd Ste 100, Indianapolis, IN, 48278-1076
person
Provider Profile Details
NPI Number
1346705720
Provider Name
Candice Latrice Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8325 E Southport Rd Ste 100, Indianapolis, IN, 48278-1076
Phone Number
317-862-6609
Fax Number
317-862-4617
Provider Enumeration Date
02/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8325 E Southport Rd Ste 100
City
State
Zip
46259-6834
Phone Number
317-862-6609
Fax Number
317-862-4617
person
Provider Business Mailing Address Details
Address
8325 E Southport Rd Ste 100
City
State
Zip
46259-6834
Phone Number
317-862-6609
Fax Number
317-862-4617
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
License No.
71009203A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28209099A (Indiana)
Definition
Definition to come...
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