Jennette, Candace Charlisa

Jennette, Candace Charlisa is an sole proprietor health care provider with primary practice located at 700 Marsh Grass Dr , Raleigh NC 27610-2194. She recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is her primary health care specialty. Jennette, Candace Charlisa can be contacted via phone (919) 389-7686.

Contact Information

Primary practice address
700 Marsh Grass Dr Raleigh NC 27610-2194
Phone: (919) 389-7686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1073195327
LBN Legal business name Jennette, Candace Charlisa
Credentials MASTER'S EDUCATION
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2021
Last updated Apr 28th, 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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