Individual
CANDACE CHAQUELLE' JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, DNP, APRN,FNP-C
Contact information
Practice address
1675 GARDEN OF GODS RD STE 2044, COLORADO SPRINGS, CO 80907-9444
(719) 578-3199
(719) 578-3114
Mailing address
1675 GARDEN OF GODS RD STE 2044, COLORADO SPRINGS, CO 80907-9444
(719) 578-3199
(719) 578-3114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0999045
CO
Other
Enumeration date
08/28/2023
Last updated
11/05/2024
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