person
Candle Johnson, CPNP
Pediatric Nurse Practitioner in Fort Worth, Texas
NPI 1508312067

Candle Johnson is a Pediatric Nurse Practitioner based in Dallas, TX and is specialized in Pediatrics. Candle Johnson practices in Fort Worth, TX and has the professional credentials of CPNP. The NPI Number for Candle Johnson is 1508312067 and holds a License No. 747188 (Texas).

The current practice location address for Candle Johnson is 2600 E Berry St, Fort Worth, TX and can be reached out via phone at 817-347-4600 and via fax at 817-347-4639.

Location: 2600 E Berry St, Fort Worth, TX, 75373-3784
person
Provider Profile Details
NPI Number
1508312067
Provider Name
Candle Johnson
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
2600 E Berry St, Fort Worth, TX, 75373-3784
Phone Number
817-347-4600
Fax Number
817-347-4639
Provider Enumeration Date
08/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2600 E Berry St
City
State
Zip
76105-4750
Phone Number
817-347-4600
Fax Number
817-347-4639
person
Provider Business Mailing Address Details
Address
2600 E Berry St
City
State
Zip
76105-4750
Phone Number
817-347-4600
Fax Number
817-347-4639
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
747188 (Texas)
Definition
Definition to come...
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