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Mrs. Candice Grace Jackson, NP-C
Student in an Organized Health Care Education/Training Program in Wetumpka, Alabama
NPI 1720722929

Candice Grace Jackson is a Student in an Organized Health Care Education/Training Program based in Wetumpka, AL. Candice Grace Jackson practices in Wetumpka, AL and has the professional credentials of NP-C. The NPI Number for Candice Grace Jackson is 1720722929 and holds a License No. (Alabama).

The current practice location address for Candice Grace Jackson is 701 Jasmine Hill Rd, Wetumpka, AL and can be reached out via phone at 334-450-3581.

Location: 701 Jasmine Hill Rd, Wetumpka, AL, 36093-1730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720722929
Provider Name
Candice Grace Jackson
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
701 Jasmine Hill Rd, Wetumpka, AL, 36093-1730
Phone Number
334-450-3581
Fax Number
Provider Enumeration Date
04/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 Jasmine Hill Rd
City
Wetumpka
State
Alabama
Zip
36093-1730
Phone Number
334-450-3581
Fax Number
person
Provider Business Mailing Address Details
Address
701 Jasmine Hill Rd
City
Wetumpka
State
Alabama
Zip
36093-1730
Phone Number
334-450-3581
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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