Individual
CANDACE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1215 W CLEMMONSVILLE RD, WINSTON SALEM, NC 27127-4521
(336) 300-8855
Mailing address
1020 ROBERT LN, ARCHDALE, NC 27263-3300
(336) 862-0530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013696
NC
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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