CANDICE NICOLE SHORT

JOHNSON CITY, TN
NPI1407264971
Former NameCANDICE NICOLE KING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  19004)
Enumeration Date2014-07-29
Last Update Date2017-05-03
Business Address
-- CANDICE NICOLE SHORT NP
2151 CENTURY LN
JOHNSON CITY, TN 37604-4469
Phone number: 423-439-4515
Mailing Address
-- CANDICE NICOLE SHORT NP
365 STOUT DRIVE
JOHNSON CITY, TN 37614-1703
Phone number: 423-439-4515
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