Gregg, Candice Priscilla

Gregg, Candice Priscilla is an individual health care provider with primary practice located at 1401 Centerville Rd Ste 202 , Tallahassee FL 32308-4638. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gregg, Candice Priscilla can be contacted via phone (850) 877-7241.

Contact Information

Primary practice address
1401 Centerville Rd Ste 202 Tallahassee FL 32308-4638
Phone: (850) 877-7241
Fax: (850) 877-1338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN9324581 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN9324581 Florida

Profile Details

NPI number 1497268635
LBN Legal business name Gregg, Candice Priscilla
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2017
Last updated Jun 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497268635 NPPES
Florida MEDICAID 023394800

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