Individual
CANDACE EATON MAUNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
452 W BANKHEAD ST, NEW ALBANY, MS 38652-3319
(662) 534-7474
(662) 534-7100
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R888400
MS
363L00000X
Nurse Practitioner
Primary
904790
MS
Other
Enumeration date
04/12/2012
Last updated
08/26/2021
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