Individual
CANDACE MCKNIGHT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP F MSN
Contact information
Practice address
5717 21ST AVE W, BRADENTON, FL 34209
(941) 792-8383
(941) 792-8484
Mailing address
5717 21ST AVE W, BRADENTON, FL 34209
(941) 792-8383
(941) 792-8484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9495576
FL
363LF0000X
Family Nurse Practitioner
LG-0000453
DE
363LF0000X
Family Nurse Practitioner
R097401
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OE276
FL HF MEDICARE
FL
Enumeration date
10/26/2005
Last updated
12/01/2021
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