Individual
CANDACE MCINNIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 577-2360
Mailing address
221A PROFESSIONAL CIR, MOREHEAD CITY, NC 28557-4303
(910) 577-2360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
160300
NC
Other
Enumeration date
02/11/2013
Last updated
11/09/2016
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