MRS. Candice Grace Jackson, NP-C

NPI #1720722929 in Wetumpka, Alabama

Provider Information

NPI Number: 1720722929
Entity Type: Individual
Name: MRS. Candice Grace Jackson, NP-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: NP-C
Enumeration Date: Apr 24, 2022
Last Updated: Apr 24, 2022

Practice Location

Address: 701 JASMINE HILL RD
City: Wetumpka
State: Alabama
ZIP Code: 36093-1730
Phone: (334) 450-3581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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