CANDACE JOHNSON


Address: 62 Old Airport Rd, Hattiesburg, MS 39401-8382
Phone: 6015444550

CANDACE JOHNSON (NPI# 1427556349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
3502 W Northside Dr, Jackson, MS 392134454 6013625321

Other Providers CANDACE JOHNSON

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

Office Location

Street Address 62 OLD AIRPORT RD
City HATTIESBURG
State MS
Zip Code 39401-8382

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083691489 Tracy Roseberry Nurse Practitioner 5003 Hardy St, Suite 350, Hattiesburg, MS 39402-1319 2005-12-27

Providers in the same taxonomy and state

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
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Competitor

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City HATTIESBURG
Zip Code 39401

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Dataset Information

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.

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