Doctor Name: | MS. CANDACE C. OWENS |
NPI Number: | 1699038240 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN061049 |
Business Practice Address: | 905 Mickey Gilley Ave Ferriday, LA - 713342619 |
Business Phone Number: | 3187578632 |
Business Fax Number: | 3187577654 |
Mailing Address: | 161 Lakeview Rd, JONESVILLE |
State: | LA |
Postal Code: | 713431431 |
Phone Number: | 3187578632 |
Fax Number: | 3187577654 |
NPI Enumeration Date: | 06/19/2012 |
NPI Last Update Date: | 06/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN061049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |