Individual
MRS. CANDACE LYNN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
255 E MAIN ST STE 2B, COLUMBUS, OH 43215-5222
(614) 722-8222
Mailing address
255 E MAIN ST STE 2B, COLUMBUS, OH 43215-5222
(614) 722-8222
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN.383375
OH
163WG0000X
General Practice Registered Nurse
RN.383375
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015549
—
OH
Enumeration date
03/17/2023
Last updated
10/27/2023
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