| Doctor Name: | MS. CANDACE ANN HAMBLETON |
| NPI Number: | 1194090787 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 707321 |
| Business Practice Address: | 108 Highway 71 S Ashdown, AR - 718228650 |
| Business Phone Number: | 8708986000 |
| Business Fax Number: | 8708986001 |
| Mailing Address: | 6108 Shadyside Ln, TEXARKANA |
| State: | TX |
| Postal Code: | 755031450 |
| Phone Number: | 9038264404 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2012 |
| NPI Last Update Date: | 03/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 707321 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |