Black, Candace S

Black, Candace S is an individual health care provider with primary practice located at 2738 N Decatur Rd , Decatur GA 30033-5910. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Black, Candace S can be contacted via phone (404) 508-8058.

Contact Information

Primary practice address
2738 N Decatur Rd Decatur GA 30033-5910
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 80843 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP003390 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200657 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10032702 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP030933 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 29273A South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13315 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN-243461 Montana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ15119200 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209013253 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024190378 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5020039 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 119837 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN280993 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 314859 Arizona

Profile Details

NPI number 1235502246
LBN Legal business name Black, Candace S
Credentials MSN, APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2015
Last updated Oct 31st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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