MRS. CANDACE CAHILL (NPI# 1043405129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043405129 |
| Entity Type | Individual |
| Full Name | MRS. CANDACE CAHILL |
| Credential | NP |
| Practice Address |
900 E. Commerce St Affordable Medical Care Hernando MS 38632 |
| Mailing Address |
900 E. Commerce St. Affordable Medical Care Hernando MS 38632 |
| Practice Telephone | 6622861499 |
| Mailing Telephone | 6624299111 |
| Mailing Fax Number | 6624296111 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2012-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | A810284 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
501647 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A810284 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
900 E. COMMERCE ST AFFORDABLE MEDICAL CARE |
| City | HERNANDO |
| State | MS |
| Zip Code | 38632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042335 | Dominic Lashay Freeman | Case Management | 2744 Hwy 51 South, Hernando, MS 38632 | 2017-09-21 |
| 1851814875 | Staci Lea Hudson | Nurse Practitioner | 2705 Hwy 51 South, Hernando, MS 38632 | 2017-07-21 |
| 1629425517 | Jamieka Harris | Counselor | 2705 Hwy 51 S, Hernando, MS 38632 | 2016-05-20 |
| 1215302476 | Elizabeth Claire Corban | Counselor | 2725 Highway 51 S., Hernando, MS 38632 | 2015-12-14 |
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1053701995 | Leigh Houston | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-01-30 |
| 1871831552 | Hernando Dental Group Incorporated | Dentist | 2264 Mcingvale Rd., Hernando, MS 38632 | 2013-01-30 |
| 1255677001 | Midsouth Medical Specialties, LLC | Pharmacy | 2260 Highway 515 South, Hernando, MS 38632 | 2012-12-26 |
| 1447506514 | Surgical First Assist, LLC | Specialist/Technologist, Other | 8921 Black Panther Cove, Herenando, MS 38632 | 2012-07-26 |
| 1629348396 | Stacy Riddle-mattox | Counselor | 2725 Highway 51 South, Hernando, MS 38632 | 2012-01-11 |
| Find all providers in zip 38632 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870611 | Richard Christian | Nurse Practitioner | 293 Northwood Hills Dr, Hernando, MS 38632-1159 | 2020-08-04 |
| 1811558927 | Camille Lachelle Jenkins | Nurse Practitioner | 3061 Logans Loop, Hernando, MS 38632-6028 | 2019-06-28 |
| 1003291683 | Carrie James Worsham | Nurse Practitioner | 1250 E Commerce St, Hernando, MS 38632-2456 | 2015-07-24 |
| 1629301106 | Vanessa K. Sluder | Nurse Practitioner | 2670 Mcingvale Rd, Suite H, Hernando, MS 38632-8695 | 2009-09-15 |
| 1740350628 | Hernando Family Medical Clinic, LLC | Nurse Practitioner | 2670 Mcingvale Rd Ste H, Hernando, MS 38632-8695 | 2006-11-08 |
| 1588130041 | Hannah Herndon | Nurse Practitioner | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2018-10-22 |
| 1225542723 | Elizabeth Janine Williams | Nurse Practitioner | 2670 Mcingvale Rd Ste H, Hernando, MS 38632-8695 | 2017-11-21 |
| 1447709498 | Elizabeth Marlynn Wooldridge | Nurse Practitioner | 900 E Commerce St, Hernando, MS 38632-2433 | 2016-09-30 |
| 1750629804 | Cynthia Sue Hopper | Nurse Practitioner | 2484 N Essex Ave, Hernando, FL 34442-5321 | 2013-01-24 |
| 1457303927 | Susan Scott | Nurse Practitioner | 124 W Commerce St, Hernando, MS 38632-2240 | 2006-05-16 |
| Find all providers in HERNANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.