Individual
MRS. CANDACE RENEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7475
(423) 230-5000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
24494
TN
363LF0000X
Family Nurse Practitioner
0024191176
VA
363LF0000X
Family Nurse Practitioner
Primary
24494
TN
Other
Enumeration date
07/24/2018
Last updated
01/29/2025
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