CANDICE LEANN LONG ARNP NPI 1811480833

NPI Information

NPI: 1811480833
Provider Name: CANDICE LEANN LONG, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: S.B.J.S. PC

PECOS Registration: Yes

Address:
1500 ROSS CLARK CIR
DOTHAN, AL
ZIP 36301
Phone: (334) 793-2663
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Candice Leann Long, ARNP is a family nurse practitioner in Dothan, AL with 6 years of experience. Candice Leann Long, ARNP NPI is 1811480833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 ROSS CLARK CIR
DOTHAN, AL
ZIP 36301
Phone: (334) 793-2663

The NPI 1811480833 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2018 and was last updated on 5/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		ARNP9446218	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	1-133554	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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