Mcknight Johnson, Candace
Mcknight Johnson, Candace is an individual health care provider with primary practice located at 5717 21St Ave W , Bradenton FL 34209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcknight Johnson, Candace can be contacted via phone (941) 792-8383.Contact Information
Primary practice address
5717 21St Ave W
Bradenton FL 34209
Phone: (941) 792-8383
Fax: (941) 792-8484
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | LG-0000453 | Delaware |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN9495576 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R097401 | Maryland |
Profile Details
NPI number | 1578553962 |
---|---|
LBN Legal business name | Mcknight Johnson, Candace |
Credentials | CRNP F MSN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2005 |
Last updated | Dec 1st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578553962 | NPPES |
Florida | Other | OE276 | FL HF MEDICARE |
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