Individual
MRS. CANDACE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, AGNP-C
Contact information
Practice address
1003 HAVEN DR, DOTHAN, AL 36301-4016
(334) 803-7401
Mailing address
1971 S BRANNON STAND RD STE 2, DOTHAN, AL 36305-6985
(850) 726-0816
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-178611
AL
Other
Enumeration date
01/30/2025
Last updated
02/03/2025
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