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NPI Code Detail

MEDICARE: JUDY L CANDLER MSN, GNP

MEDICARE: JUDY L CANDLER MSN, GNP
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
1363L00000XNurse Practitioner228282TX
2363LG0600XGerontology Nurse Practitioner228282TX
3363LA2200XAdult Health Nurse Practitioner228282TX

General Provider Information

NPI Number : 1851318539
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY L CANDLER MSN, GNP
Provider Business Mailing Address
First Line : 200 N VIRGINIA ST
Second Line :
City : TERRELL
State : TX
Zip : 75160-2732
Country : US
Telephone Number : 972-551-7500
Fax Number : 972-524-7418
Provider Business Practice Location Address
First Line : 200 N VIRGINIA ST
Second Line :
City : TERRELL
State : TX
Zip : 75160-2732
Country : US
Telephone Number : 972-551-7500
Fax Number : 972-524-7418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 03/29/2022

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Directions to “ JUDY L CANDLER MSN, GNP” Practice Location

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