CANDACE JO NICHOLAS

FORT WAYNE, IN
NPI1184138349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71007702A)
Enumeration Date2017-11-27
Last Update Date2023-11-22
Business Address
CANDACE JO NICHOLAS NP
2520 E DUPONT RD
FORT WAYNE, IN 46825-1675
Phone number: 260-344-4035
Mailing Address
CANDACE JO NICHOLAS NP
6435 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6203
Phone number: 260-426-0420
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