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Individual

CANDICE NICOLE BLACKWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2424 DANVILLE RD SW STE K, DECATUR, AL 35603-4219
(256) 309-5850
(256) 309-5851
Mailing address
61 COUNTY ROAD 390, TRINITY, AL 35673-3162
(256) 345-8232

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-156478
AL

Other

Enumeration date
09/15/2021
Last updated
11/22/2023
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