Individual
CANDICE PRISCILLA GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1401 CENTERVILLE RD STE 202, TALLAHASSEE, FL 32308-4638
(850) 877-7241
(850) 877-1338
Mailing address
1401 CENTERVILLE RD STE 202, TALLAHASSEE, FL 32308-4638
(850) 877-7241
(850) 877-1338
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN9324581
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APRN9324581
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023394800
—
FL
Enumeration date
11/09/2017
Last updated
06/02/2021
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