Houston, Candace
Houston, Candace is an individual health care provider with primary practice located at 2100 Highway 61 N , Vicksburg MS 39183-8211. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Houston, Candace can be contacted via phone (601) 883-6001.Contact Information
Primary practice address
2100 Highway 61 N
Vicksburg MS 39183-8211
Phone: (601) 883-6001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 905029 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 905029 | Mississippi |
Profile Details
| NPI number | 1558955344 |
|---|---|
| LBN Legal business name | Houston, Candace |
| Credentials | CPNP-PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2021 |
| Last updated | May 2nd, 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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