CANDACE JOHNSON (NPI# 1427556349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427556349 |
Entity Type | Individual |
Full Name | CANDACE JOHNSON |
Credential | WHNP-BC |
Practice Address |
62 Old Airport Rd Hattiesburg MS 39401-8382 |
Mailing Address |
252 Penny Ln Brandon MS 39042-7558 |
Practice Telephone | 6015444550 |
Practice Fax Number | 6015823373 |
Enumeration Date | 2018-01-25 |
Last Update Date | 2018-09-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
902209 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3502 W Northside Dr, Jackson, MS 392134454 | 6013625321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841734100 | Candace Johnson | Specialist | 800 W Brevard St, Unit 1, Tallahassee, FL 32304-7839 | 2016-12-06 |
1811271406 | Candace Johnson | Nurse Practitioner | 12095 Steekee School Rd, Loudon, TN 37774-4565 | 2011-09-30 |
1831351964 | Candace Barlowe Johnson | Counselor | 2430 2nd Ave Sw, Hickory, NC 28602-2047 | 2008-06-30 |
1134392657 | Candace D. Johnson | Occupational Therapist | 7737 S Kingston Ave, Unit #1n, Chicago, IL 60649-4713 | 2008-04-04 |
1730162702 | Candace J Johnson | Pediatrics | 290 Country Club Dr Ste 140, Stockbridge, GA 30281-9094 | 2005-11-23 |
1700404118 | Candace Johnson | Social Worker | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-07-12 |
1255958351 | Candace Johnson | Audiologist | 1603 Medical Pkwy Ste 200, Cedar Park, TX 78613-7904 | 2020-07-06 |
1275166837 | Candace J Johnson | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-02-21 |
1730711599 | Candace Snow Johnson | Nurse Practitioner | 10 Union Sq E, New York, NY 10003-3314 | 2020-02-10 |
1649838731 | Candace Johnson | Behavior Technician | 26720 Ynez Ct, Temecula, CA 92591-4659 | 2019-06-03 |
Street Address |
62 OLD AIRPORT RD |
City | HATTIESBURG |
State | MS |
Zip Code | 39401-8382 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821093691 | John Michael Woods | Obstetrics & Gynecology | 62 Old Airport Rd, Hattiesburg, MS 39401 | 2005-06-16 |
1386154243 | Martia Moffett | Social Worker | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2017-10-05 |
1871927517 | Southeast Mississippi Rural Health Initiative, Inc. | Pharmacy | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2013-08-29 |
1831167998 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2006-03-14 |
1306819891 | Eugene Linwood Shannon | Obstetrics & Gynecology | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2006-02-07 |
1588637052 | Arthur Dean Cromartie | Obstetrics & Gynecology | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2006-02-07 |
1881675312 | Hilda J Mcgee | Obstetrics & Gynecology | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2005-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
Find all providers in zip 39401 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083691489 | Tracy Roseberry | Nurse Practitioner | 5003 Hardy St, Suite 350, Hattiesburg, MS 39402-1319 | 2005-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972120665 | Chelsea Lynne Mcgee Walley | Nurse Practitioner | 1880 Bakers Trl, Nesbit, MS 38651-6042 | 2020-06-29 |
1225675952 | Victoria Delores Brown | Nurse Practitioner | 5155 Keele St Apt 22d, Jackson, MS 39206-4331 | 2019-12-02 |
1497280770 | Jessica Wilder | Nurse Practitioner | 128 Cattail Ln, Ocean Springs, MS 39564-3863 | 2017-04-25 |
1609321702 | Ashley Floyd | Nurse Practitioner | 1203 Avenue B Ste 300, Ellisville, MS 39437-2080 | 2016-08-18 |
1033571054 | Debra Gail Gill | Nurse Practitioner | 4892 Briarton Dr, Southaven, MS 38672-9571 | 2016-03-29 |
1346652377 | Rachel Nichole Ford | Nurse Practitioner | 5963 I 55 N, Jackson, MS 39213-9722 | 2014-05-26 |
1831485895 | Anita Sharyl Clinton Donegan | Nurse Practitioner | 1012 Big Lane Dr, Brookhaven, MS 39601-2331 | 2011-06-28 |
1285861039 | Katherine Young | Nurse Practitioner | 1212 Northpark Ln Ne, Brookhaven, MS 39601 | 2009-06-19 |
1295936839 | Susan Turiano Crump | Nurse Practitioner | 111 Depot Dr # A, Madison, MS 39110-9395 | 2007-05-30 |
1760601967 | Kimberly Lynne Schlagel | Nurse Practitioner | 1200 N State St Ste 430, Jackson, MS 39202-2027 | 2007-04-25 |
Find all providers with the same taxonomy |
City | HATTIESBURG |
Zip Code | 39401 |
Please comment or provide details below to improve the information on CANDACE JOHNSON.
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.