Individual
CANDICE NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2675 VILLA DI LAGO UNIT 1, GRAND PRAIRIE, TX 75054-6650
(682) 888-7353
Mailing address
2675 VILLA DI LAGO UNIT 1, GRAND PRAIRIE, TX 75054-6650
(682) 888-7353
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1218764
TX
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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