Individual
CANDICE LEIGH HEAVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
24111 HIGHWAY 15, TIPLERSVILLE, MS 38674
(662) 882-3635
(662) 235-9157
Mailing address
2820 COUNTY ROAD 301, FALKNER, MS 38629-9321
(662) 882-3635
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
30118
TN
363LF0000X
Family Nurse Practitioner
Primary
907123
MS
Other
Enumeration date
08/20/2021
Last updated
07/11/2025
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