CANDICE LATRICE JACKSON

CARMEL, 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 Date2025-01-25
Business Address
CANDICE LATRICE JACKSON FNP, PMHNP
600 E CARMEL DR STE 117
CARMEL, IN 46032-3049
Phone number: 463-999-9203
Mailing Address
CANDICE LATRICE JACKSON FNP, PMHNP
5140 E SOUTHPORT RD # 1030
SOUTHPORT, IN 46237-9601
Phone number: 317-493-6456