CANDACE HARRIS (NPI# 1043636244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043636244 |
| Entity Type | Individual |
| Full Name | CANDACE HARRIS |
| Other Name | CANDACE DAWN EDER |
| Credential | FNP-C |
| Practice Address |
1204 W Poplar Ave Suite 102 Collierville TN 38017-3103 |
| Practice Telephone | 9016103135 |
| Mailing Telephone | 9016103135 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2016-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18449 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912429044 | Candace A Harris | Community Health Worker | 108186 Valencia Hills Street, Las Vegas, NV 89141 | 2017-07-11 |
| 1780031229 | Candace M Harris | Specialist | 2015 Montreal Rd, Tucker, GA 30084-5224 | 2016-05-14 |
| 1285939926 | Candace Harris | Occupational Therapist | 7122 Fairchild Dr, #101, Alexandria, VA 22306-7122 | 2011-01-11 |
| 1649323734 | Candace Lynn Harris | Technician, Other | 1755 Gordon Dr Apt 9, Kingman, AZ 86409-2937 | 2007-01-19 |
| 1558984765 | Candace Le'shawn Harris | Peer Specialist | 2808 Nw 31st St, Oklahoma City, OK 73112-7407 | 2020-05-21 |
| 1518445139 | Candace Blount Harris | Nurse Practitioner | 3081 Lorna Rd Ste 101, Vestavia Hills, AL 35216-4509 | 2018-08-06 |
| 1942787833 | Candace Renee Harris | Nurse Practitioner | 711 Mcfarland St, Morristown, TN 37814-3977 | 2018-07-24 |
| 1740784289 | Candace Harris | Behavior Technician | 2035 Sw 75th St Ste B, Gainesville, FL 32607-3425 | 2018-03-20 |
| 1013341692 | Candace Brook Harris | Social Worker | 3500 Westgate Dr, Suite 504c, Durham, NC 27707-2567 | 2013-08-30 |
| 1134271489 | Candace A Harris | Social Worker | 3801 E Florida Ave, Denver, CO 80210-2571 | 2007-01-17 |
| Street Address |
1204 W POPLAR AVE SUITE 102 |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124496575 | Total Health Medical Clinic, LLC | Nurse Practitioner | 1204 W Poplar Ave, Suite 102, Collierville, TN 38017-3103 | 2015-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528698859 | Jennifer Keneally Gant | Nurse Practitioner | 1752 John Ridge Dr, Collierville, TN 38017-7606 | 2020-01-26 |
| 1407301567 | Brittany Dye | Nurse Practitioner | 11973 Macon Rd Ste 3, Collierville, TN 38017-4879 | 2016-08-18 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1770858144 | Aaron Harris | Nurse Practitioner | 1500 W Poplar Ave Ste 308, Collierville, TN 38017-0601 | 2012-03-18 |
| 1558649723 | April R Johnson | Nurse Practitioner | 461 Tuscumbia Cv W, Collierville, TN 38017-3659 | 2011-07-22 |
| 1396033031 | Cynthia Dawn Howell | Nurse Practitioner | 240 New Bihalia Road, Collierville, TN 38017 | 2011-07-15 |
| 1770728784 | Loretta Lambert Shamley | Nurse Practitioner | 1936 W Poplar Ave, Collierville, TN 38017-0605 | 2008-12-04 |
| 1336342559 | Twanna Evette Jackson | Nurse Practitioner | 300 River Branch Dr, Collierville, TN 38017-2653 | 2007-06-06 |
| 1700952264 | Alice C Mcdonald | Nurse Practitioner | 1125 Schilling Blvd E, Suite 105, Collierville, TN 38017-7078 | 2006-11-27 |
| 1619998259 | Laurie Barton | Nurse Practitioner | 335 Poplar View Ln E Ste 1, Collierville, TN 38017-3192 | 2006-07-21 |
| Find all providers in COLLIERVILLE | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
Please comment or provide details below to improve the information on CANDACE HARRIS.
| 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.