CANDICE COLEMAN


Address: 3502 W Northside Dr, Jackson, MS 39213
Phone: 6013625321

CANDICE COLEMAN (NPI# 1073912366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073912366
Entity Type Individual
Full Name CANDICE COLEMAN
Credential NP-C
Practice Address 3502 W Northside Dr
Jackson
MS 39213
Mailing Address 3502 W Northside Dr
Jackson
MS 39213-4454
Practice Telephone 6013625321
Mailing Telephone 6013625321
Enumeration Date 2014-08-22
Last Update Date 2018-07-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
902442 MS Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
145 Raymond Rd, Jackson, MS 392043802 6013721800

Other Providers CANDICE COLEMAN

NPI Name Taxonomy Address Enumeration
1164823035 Candice Leslie Coleman Dentist 3130 Tom Austin Hwy Ste D, Springfield, TN 37172-4519 2014-09-10
1366790388 Candice Elizabeth Coleman Pharmacist 321 Killian Rd, Columbia, SC 29203-9607 2012-08-23
1366762072 Candice Marie Coleman Pharmacist 3190 Zelda Rd, Montgomery, AL 36106-2692 2010-06-03

Office Location

Street Address 3502 W NORTHSIDE DR
City JACKSON
State MS
Zip Code 39213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952386559 Laboratory Corporation of America Holdings Clinical Medical Laboratory 3502 W Northside Dr, Jackson, MS 39213-4454 2005-12-07
1689217812 Ebony Martin Case Manager/Care Coordinator 3502 W Northside Dr, Jackson, MS 39213-4454 2019-10-21
1275189938 April Terrain Perry Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213 2019-08-16
1013473891 Ericia Latrice Cannon Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2019-02-16
1578037172 Jennifer Henley Internal Medicine 3502 W Northside Dr, Jackson, MS 39213-4454 2019-01-16
1003388968 Tiffani Ricchele Mcknight Social Worker 3502 W Northside Dr, Jackson, MS 39213-4454 2018-12-17
1356810360 Thrishanna Clark Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2018-11-19
1376034660 Sirna Musa Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2018-05-23
1033649058 Central Mississippi Civic Improvement Association, Inc. Clinic/Center 3502 W Northside Dr, Jackson, MS 39213-4454 2017-06-13
1013451780 Katrice Pacley Andrews Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2016-12-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679117980 Cynthia Bailey Technician 916 Carnation Street, Jackson, MS 39213 2019-10-30
1871136374 Shirley Collins Williams Technician 3132 Sage St, Jackson, MS 39213 2019-10-28
1275057069 Nikita Patel Pharmacist 830 West Woodrow Wilson Avenue, Jackson, MS 39213 2017-08-02
1346782893 Mississippi Smiles Dentistry LLC Dentist 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 2016-11-15
1730637521 Ms Eyecare Associates of Jackson, Pllc. Optometrist 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 2016-09-21
1518410778 Assurance Home Health Services, LLC Health Maintenance Organization 1771 Hamilton Blvd., Jackson, MS 39213 2016-07-25
1831576180 Dorothy Jeffries Anderson Counselor 350 Woodrow Wilson Ave, Jackson, MS 39213 2015-05-06
1740697275 Sincere Home Care LLC. Chore Provider 5911 Holmes Ct, Jackson, MS 39213 2014-07-16
1629401088 Deborah Diane Wright Assisted Living Facility 5911 Holmes Court, Jackson, MS 39213 2013-08-20
1245663251 Methodist Home Road Living Center Licensed Practical Nurse 4560 Methodist Home Road, Jackson, MS 39213 2013-08-13
Find all providers in zip 39213

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215537220 John Franklin Niswonger Nurse Practitioner 861 Canyon Trl, Jackson, MO 63755-4001 2020-10-28
1902421746 Rebecca Mcwhirter Nurse Practitioner 1512 Roswell Dr, Jackson, MS 39211-5928 2020-06-08
1023656642 Nicole Lynn Mckee Nurse Practitioner 170 Bridge St, Jackson, OH 45640-1144 2019-12-13
1104387695 Chatina Spears Martin Nurse Practitioner 308 Melba Hill Dr, Jackson, MS 39209-2833 2019-03-27
1669987723 Harmony House Calls LLC Nurse Practitioner 5140 Galaxie Dr Ste 105, Jackson, MS 39206 2017-12-11
1942649686 Jennifer Annette Paulson Nurse Practitioner 113 W Michigan Ave Ste 201, Jackson, MI 49201-1340 2013-06-16
1770880171 Tracy Little Nurse Practitioner 2782 N Highland Ave Ste C, Jackson, TN 38305-1797 2011-02-21
1750554267 Barbara Darlington Nurse Practitioner 14 Abes Way, Jackson, NJ 08527-4440 2008-04-04
1902075401 Dana Leanne Wilhite Nurse Practitioner 38 Abbey Pl, Jackson, TN 38305-1794 2008-02-28
1659550036 Kristen Elizabeth Tweedy Nurse Practitioner 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850 2007-11-01
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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