person
Candice Nicole Short, NP
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1407264971

Candice Nicole Short is a Family Nurse Practitioner based in Johnson City, TN and is specialized in Family. Candice Nicole Short practices in Johnson City, TN and has the professional credentials of NP. The NPI Number for Candice Nicole Short is 1407264971 and holds a License No. 19004 (Tennessee).

The current practice location address for Candice Nicole Short is 2151 Century Ln, Johnson City, TN and can be reached out via phone at 423-439-4515 and via fax at 423-439-5780.

Location: 2151 Century Ln, Johnson City, TN, 37614-1703
person
Provider Profile Details
NPI Number
1407264971
Provider Name
Candice Nicole Short
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2151 Century Ln, Johnson City, TN, 37614-1703
Phone Number
423-439-4515
Fax Number
423-439-5780
Provider Enumeration Date
07/29/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q007448 05 TN
institution
Provider Business Practice Location Address Details
Address
2151 Century Ln
City
State
Zip
37604-4469
Phone Number
423-439-4515
Fax Number
423-439-5780
person
Provider Business Mailing Address Details
Address
2151 Century Ln
City
State
Zip
37604-4469
Phone Number
423-439-4515
Fax Number
423-439-5780
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
19004 (Tennessee)
Definition
Definition to come...
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