CANDICE LATRICE JACKSON

INDIANAPOLIS, IN
NPI1346705720
Other NameCANDICE LATRICE PARRISH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71009203B)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IN  71009203A)
Enumeration Date2019-02-10
Last Update Date2026-02-05
Business Address
CANDICE LATRICE JACKSON FNP, PMHNP
5210 COMMERCE CIR STE B
INDIANAPOLIS, IN 46237-9853
Phone number: 463-999-9203
Mailing Address
CANDICE LATRICE JACKSON FNP, PMHNP
5210 COMMERCE CIR STE B
INDIANAPOLIS, IN 46237-9853
Phone number: 317-493-6456