Dunlap, Candace

Dunlap, Candace is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Dunlap, Candace can be contacted via phone (601) 984-9845.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-9845
Fax: (601) 984-5583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 853390 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R853390 Mississippi

Profile Details

NPI number 1518115864
LBN Legal business name Dunlap, Candace
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2008
Last updated Oct 19th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518115864 NPPES
Mississippi MEDICAID 00258817

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