CANDICE JOY STEPHENSON (NPI# 1811375918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811375918 |
| Entity Type | Individual |
| Full Name | CANDICE JOY STEPHENSON |
| Other Name | CANDICE JOY EISENMANN |
| Credential | PA |
| Practice Address |
836 Prudential Dr Suite 1601 Jacksonville FL 32207-8334 |
| Mailing Address |
Po Box 41516 Jacksonville FL 32203-1516 |
| Practice Telephone | 9043968060 |
| Practice Fax Number | 9043969700 |
| Mailing Telephone | 9042025111 |
| Mailing Fax Number | 9043969700 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9108303 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014983500 | 05 | |
| FL | RAILROAD MEDICARE | P01498314 | 01 |
| Street Address |
836 PRUDENTIAL DR SUITE 1601 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416550 | Joseph David Allen | Physician Assistant | 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8334 | 2005-06-13 |
| 1245877513 | Monica Pombier | Nurse Practitioner | 836 Prudential Dr, Jacksonville, FL 32207 | 2019-12-05 |
| 1396110581 | Jena Joray Snipes | Nurse Practitioner | 836 Prudential Dr, Ste 1405, Jacksonville, FL 32207-8334 | 2015-12-14 |
| 1801266754 | Melanie Barriger Wilson | Nurse Practitioner | 836 Prudential Dr, Suite 1405, Jacksonville, FL 32207-8334 | 2015-10-05 |
| 1477932002 | Maggie Davis | Nurse Practitioner | 836 Prudential Dr, Suite 1800, Jacksonville, FL 32207-8334 | 2015-05-28 |
| 1114306024 | Baptist Ent Specialists Inc | Otolaryngology | 836 Prudential Dr, Suite 1601, Jacksonville, FL 32207-8334 | 2015-05-26 |
| 1467882340 | Molly Mckee Turner | Nurse Practitioner | 836 Prudential Dr, Suite 1103, Jacksonville, FL 32207-8334 | 2013-11-14 |
| 1285907311 | Baptist Cardiology, Inc. | Internal Medicine | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8334 | 2012-02-21 |
| 1689962375 | Angela Marie Kaeding | Nurse Practitioner | 836 Prudential Dr, 1800, Jacksonville, FL 32207-8334 | 2011-07-14 |
| 1962793356 | Florida Woman Care, LLC | Obstetrics & Gynecology | 836 Prudential Dr, Suite 803, Jacksonville, FL 32207-8334 | 2011-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| 1467935213 | Alexis Almonte | Physician Assistant | 655 W 8th St # C-3, Jacksonville, FL 32209-6511 | 2018-09-07 |
| 1053851535 | Luciana Oran | Physician Assistant | 4849 Florida Club Cir Apt 3104, Jacksonville, FL 32216-1089 | 2017-03-02 |
| 1699217463 | Ashley C Moyer | Physician Assistant | 5742 Booth Rd Ste A, Jacksonville, FL 32207-5982 | 2016-11-10 |
| 1437600889 | Lindsay Elizabeth Murrell | Physician Assistant | 14540 Old Saint Augustine Rd Ste 2599, Jacksonville, FL 32258-7420 | 2016-10-20 |
| 1992178719 | Sonila Musta-kina | Physician Assistant | 1633 Race Track Rd Ste 101, Jacksonville, FL 32259-3237 | 2015-11-02 |
| 1922409580 | Lindsey Beth Hollingsworth | Physician Assistant | 841 Prudential Dr Ste 1900, Jacksonville, FL 32207-8373 | 2014-09-12 |
| 1487905220 | Krystin Michelle Greene | Physician Assistant | 4085 University Blvd S Ste 3, Jacksonville, FL 32216-4362 | 2012-09-19 |
| 1790034296 | Gary Robertson | Physician Assistant | 12964 Winthrop Cove Dr, Jacksonville, FL 32224-7503 | 2012-08-30 |
| 1366711905 | Jeremiah Taejong Oh | Physician Assistant | 3d Battalion, 8th Marines Psc Box 20104, Camp Lejeune, Jacksonville, NC 28542-0104 | 2011-12-28 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.