Individual
CANDICE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
202 JOE AVE, HOHENWALD, TN 38462-2002
(931) 796-9797
(931) 295-0200
Mailing address
912 W COLLEGE ST, PULASKI, TN 38478-3630
(931) 424-9797
(931) 424-9788
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
24040
TN
363LF0000X
Family Nurse Practitioner
Primary
24040
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q037880
—
TN
Enumeration date
03/19/2018
Last updated
03/07/2023
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