Individual
CANDYCE NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2104 N CAPITOL AVE, INDIANAPOLIS, IN 46202-1225
(317) 644-1404
Mailing address
7825 BANCASTER CIR, INDIANAPOLIS, IN 46268-5702
(317) 737-6001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71016377A
IN
Other
Enumeration date
08/07/2025
Last updated
08/08/2025
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