MEDICARE: CANDICE HOWELL RN, CCM

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
1	163WC0400X	Case Management Registered Nurse	RN9204709	FL

General Provider Information

NPI Number	:	1215869235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDICE HOWELL RN, CCM

Provider Business Mailing Address
First Line	:	1018 ROCKY BAYOU DR
Second Line	:
City	:	NICEVILLE
State	:	FL
Zip	:	32578-2347
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1018 ROCKY BAYOU DR
Second Line	:
City	:	NICEVILLE
State	:	FL
Zip	:	32578-2347
Country	:	US
Telephone Number	:	850-814-0255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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