Candice J. Stephenson PA
Medical Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Candice Joy Stephenson PA
NPI Number
1811375918
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/11/2015
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9108303
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 41516
836 PRUDENTIAL DR
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32203-1516
32207-8334
Country
US
US
Telephone Number
(904) 202-5111
(904) 396-8060
Identifiers
Identifier
014983500
P01498314
Identifier State
FL
FL
Identifier Issuer
Unknown
RAILROAD MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/17/2015