Organization
CANDACE J TEMPLETON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDACE JOY TEMPLETON FNP (OWNER)
(865) 248-8728
Entity
Organization
Contact information
Practice address
915 N KENTUCKY ST, KINGSTON, TN 37763-2638
(865) 248-8728
(865) 248-8782
Mailing address
915 N KENTUCKY ST, KINGSTON, TN 37763-2638
(865) 248-8728
(865) 248-8782
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18310
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q005512
—
TN
Enumeration date
02/01/2014
Last updated
12/26/2014
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