Individual
CANDICE RHIANNON JARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3100 MACCORKLE AVE SE STE 101, CHARLESTON, WV 25304-1215
(304) 388-5395
(304) 388-5398
Mailing address
1560 CENTRAL AVE UNIT 168, ST PETERSBURG, FL 33705-1615
(304) 206-1636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11009890
FL
Other
Enumeration date
11/22/2020
Last updated
05/15/2024
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