Female

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)

Code

363AM0700X

Primary Taxonomy

Yes

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

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