Kandice E Johnson, RN, CDE
Registered Nurse, Diabetes Educator in Fayetteville, AR. Individual provider (NPI-1).
NPI number1609288448
StatusActive
Last updated in NPPESOct 10, 2017
Details
- NPI
- 1609288448
- Entity type
- Individual (NPI-1)
- Name
- Kandice E Johnson
- Credential
- RN, CDE
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 28, 2014
- Last updated
- Oct 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WD0400X | Registered Nurse, Diabetes Educator | R014870 | AR | Yes |
Practice location
3 East Appleby Rd.Suite 202
Fayetteville, AR 72703-4424
Phone 479-404-1140 · Fax 479-404-1141
Mailing address
Po Box 550Lowell, AR 72745
Phone 479-463-7775 · Fax 479-463-7187
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