Individual provider · Type 1 NPI

Candice Renee Douglas, FNP-C

Family Nurse Practitioner · Fort Leonard Wood, MO

NPI number 1164314738 Active

Practice location

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Call (573) 596-0456 Map

Mailing address

129 Jared St
Waynesville, MO 65583-3452

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2025029778 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1164314738

Candice Renee Douglas, FNP-C's National Provider Identifier is 1164314738, issued on Jul 17, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Dec 30, 2025.