Healthcare Provider Details

I. General information

NPI: 1811646615
Provider Name (Legal Business Name): CANDYCE CURRY MSN, APRN, AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 03/28/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2080 CHILD ST MULTISERVICE UNIT
JACKSONVILLE FL
32214-5000
US

IV. Provider business mailing address

2080 CHILD ST MULTISERVICE UNIT
JACKSONVILLE FL
32214-5000
US

V. Phone/Fax

Practice location:
  • Phone: 904-542-7097
  • Fax:
Mailing address:
  • Phone: 904-542-7097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License Number0001234106
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: