Individual
CANDACE PENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7471 NE 160TH AVE, WILLISTON, FL 32696-4922
(352) 484-3746
Mailing address
7471 NE 160TH AVE, WILLISTON, FL 32696-4922
(352) 484-3746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11038282
FL
Other
Enumeration date
03/18/2025
Last updated
09/02/2025
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