Individual provider · Type 1 NPI

Candice Nicole Short, NP

Family Nurse Practitioner · Johnson City, TN

NPI number 1407264971 Active

Practice location

2151 Century Ln
Johnson City, TN 37604-4469

Call (423) 439-4515 Map

Fax (423) 439-5780

Mailing address

365 Stout Drive
Johnson City, TN 37614-1703

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X19004 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1407264971

Candice Nicole Short, NP's National Provider Identifier is 1407264971, issued on Jul 29, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Johnson City, TN. The record was last updated on May 3, 2017.