Individual
CANDACE BUCKLEY
Active
Individual
CANDACE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN258377
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN258377
GEORGIA BOARD OF NURSING
GA
Enumeration date
10/29/2020
Last updated
02/24/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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