Individual
CANDICE DUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
474 MARC DR, NORTH BRUNSWICK, NJ 08902-5110
(908) 367-1336
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09221068
NJ
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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