Individual
MRS. CANDACE LAIRD DUCKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1578 SHANNA LN NW, BROOKHAVEN, MS 39601-4420
(601) 757-9659
Mailing address
1578 SHANNA LN NW, BROOKHAVEN, MS 39601-4420
(601) 757-9659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903123
MS
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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