Individual
CANDACE DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-9845
(601) 984-5583
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-4000
(601) 984-5583
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
R853390
MS
363LA2200X
Adult Health Nurse Practitioner
Primary
853390
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00258817
—
MS
Enumeration date
08/28/2008
Last updated
10/19/2016
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