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NPI Code Detail

MEDICARE: MS. CANDACE ANN CHAUNCY APN

MEDICARE:  MS. CANDACE ANN CHAUNCY  APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner707321TX
2363LA2100XAcute Care Nurse PractitionerA03664AR

General Provider Information

NPI Number : 1194090787
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CANDACE ANN CHAUNCY APN
Provider Business Mailing Address
First Line : 6 WOODMONT CROSSING ST
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-2100
Country : US
Telephone Number : 903-831-0161
Fax Number : 903-831-0162
Provider Business Practice Location Address
First Line : 6 WOODMONT CROSSING ST
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-2100
Country : US
Telephone Number : 903-826-4404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2012
Last Update Date : 01/24/2026

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Directions to “ MS. CANDACE ANN CHAUNCY APN” Practice Location

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