Individual
CANDICE OWINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1095 NW SAINT LUCIE WEST BLVD STE 106, PORT ST LUCIE, FL 34986
(772) 785-5505
(772) 785-5599
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5653
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
21514
TN
363LF0000X
Family Nurse Practitioner
Primary
ARNP9469509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C6TFK
FLORIDA BLUE
FL
Enumeration date
08/01/2016
Last updated
10/14/2020
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