CANDLE JOHNSON

FORT WORTH, TX
NPI1508312067
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  747188)
Enumeration Date2016-08-25
Last Update Date2021-04-29
Business Address
CANDLE JOHNSON CPNP
2600 E BERRY ST
FORT WORTH, TX 76105-4750
Phone number: 817-347-4600
Mailing Address
CANDLE JOHNSON CPNP
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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