Healthcare Provider Details

I. General information

NPI: 1083869218
Provider Name (Legal Business Name): CANDACE PRINGLE-WELCH FNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CANDACE PRINGLE

II. Dates (important events)

Enumeration Date: 12/02/2008
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2420 11TH ST
MERIDIAN MS
39301-5033
US

IV. Provider business mailing address

350 N HUMPHREYS BLVD
MEMPHIS TN
38120-2177
US

V. Phone/Fax

Practice location:
  • Phone: 601-485-8974
  • Fax: 601-483-6129
Mailing address:
  • Phone: 901-226-4003
  • Fax: 901-227-8581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number867951
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: