Individual
KANDICE E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
3 EAST APPLEBY RD., SUITE 202, FAYETTEVILLE, AR 72703-4424
(479) 404-1140
(479) 404-1141
Mailing address
PO BOX 550, LOWELL, AR 72745
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R014870
AR
Other
Enumeration date
05/28/2014
Last updated
10/10/2017
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