Individual
MS. CANDACE SHANTRELLA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1022 HILLCREST PKWY STE 200, DUBLIN, GA 31021-4258
(478) 296-9696
(478) 296-7429
Mailing address
1022 HILLCREST PKWY STE 200, DUBLIN, GA 31021-4258
(478) 296-9696
(478) 296-7429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN249056
GA
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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