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Candice Johnson
Licensed Practical Nurse in Mount Vernon, New York
NPI 1700219060

Candice Johnson is a Licensed Practical Nurse based in Mount Vernon, NY. Candice Johnson practices in Mount Vernon, NY. The NPI Number for Candice Johnson is 1700219060 and holds a License No. 3093871 (New York).

The current practice location address for Candice Johnson is 2 Adams St, Mount Vernon, NY and can be reached out via phone at 347-866-6643.

Location: 2 Adams St, Mount Vernon, NY, 10550-3504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700219060
Provider Name
Candice Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2 Adams St, Mount Vernon, NY, 10550-3504
Phone Number
347-866-6643
Fax Number
Provider Enumeration Date
08/09/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3093871 01 NY NURSING LICENSE
institution
Provider Business Practice Location Address Details
Address
2 Adams St
City
Mount Vernon
State
New York
Zip
10550-3504
Phone Number
347-866-6643
Fax Number
person
Provider Business Mailing Address Details
Address
2 Adams St
City
Mount Vernon
State
New York
Zip
10550-3504
Phone Number
347-866-6643
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
3093871 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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