CANDACE S WILLIS (NPI# 1659627388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659627388 |
| Entity Type | Individual |
| Full Name | CANDACE S WILLIS |
| Credential | FNP |
| Practice Address |
864 W Church St Ste A Lexington TN 38351 |
| Mailing Address |
864 W Church St Ste A Lexington TN 38351-1744 |
| Practice Telephone | 7312499777 |
| Practice Fax Number | 7312499003 |
| Mailing Telephone | 7312499777 |
| Mailing Fax Number | 7312499003 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN16883 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 969 Tennessee Ave S, Parsons, TN 383633700 | 7318473031 | 7318471122 |
| Street Address |
864 W CHURCH ST STE A |
| City | LEXINGTON |
| State | TN |
| Zip Code | 38351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295273993 | Millennia Medical LLC | Family Medicine | 864 W Church St Ste A, Lexington, TN 38351-1744 | 2017-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417594482 | Kevin B Record | Counselor | 844 Natchez Trace Dr, Lexington, TN 38351 | 2019-12-09 |
| 1356650329 | Robert W Spain | Pharmacist | 654 West Church St, Lexington, TN 38351 | 2010-09-24 |
| 1699944819 | Cynthia Williams | Physical Therapy Assistant | 52 First St, Lexington, TN 38351 | 2008-02-21 |
| 1588703615 | Pansy Hayes Davis | Preventive Medicine | 90 Rush St, Lexington, TN 38351 | 2007-02-05 |
| 1467505958 | Tara Hendrix | Nurse Practitioner | 9550 Hwy 412w Suite C, Lexington, TN 38351 | 2007-01-19 |
| 1760532923 | State of Tennessee | Public Health or Welfare | 90 Rush Street, Lexington, TN 38351 | 2007-01-11 |
| 1154402667 | Professional Arts Pharmacy, LLC | Pharmacy | 270 West Church St Suite C, Lexington, TN 38351 | 2006-10-18 |
| 1891881090 | Jones Pharmacy, LLC | Pharmacy | 101 Lexington Plaza, Lexington, TN 38351 | 2006-10-05 |
| 1366453060 | Tommy Wayne Page | Dentist | 104 Lexington Plaza, Lexington, TN 38351 | 2006-08-10 |
| 1730144155 | Lexington Health Care and Rehabilitation Inc | Nursing Facility/Intermediate Care Facility | 727 E Church St, Lexington, TN 38351 | 2006-04-19 |
| Find all providers in zip 38351 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| 1578161303 | Mariem Kader | Nurse Practitioner | 3622 White Pine Dr, Lexington, KY 40514-1740 | 2020-10-14 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| 1649878992 | Margaret Bunch | Nurse Practitioner | 171 W Lowry Ln Ste 132, Lexington, KY 40503-3006 | 2020-10-09 |
| 1831701572 | Jillian Leigh Butcher | Nurse Practitioner | 2917 Mahala Ln, Lexington, KY 40509-8555 | 2020-08-22 |
| 1033721154 | Heart Rescue Cpr LLC | Nurse Practitioner | 501 Darby Creek Rd Ste 18, Lexington, KY 40509-1606 | 2020-08-19 |
| 1619588241 | Jordyn L Bush | Nurse Practitioner | 124 Clay Ave, Lexington, KY 40502-1702 | 2020-08-17 |
| Find all providers in LEXINGTON | ||||
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| 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.