Poteet, Candyce

Poteet, Candyce is an individual health care provider with primary practice located at 754 N Mount Juliet Rd , Mount Juliet TN 37122. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Poteet, Candyce can be contacted via phone (615) 754-2828.

Contact Information

Primary practice address
754 N Mount Juliet Rd Mount Juliet TN 37122
Fax: (615) 754-2818
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001208219 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN16011 Tennessee

Profile Details

NPI number 1609155761
LBN Legal business name Poteet, Candyce
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2011
Last updated Jun 8th, 2018 - about 8 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 1609155761 NPPES
Tennessee MEDICAID 1525070

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