Individual provider · Type 1 NPI

Candice Nicole Johnson

Women's Health Nurse Practitioner · Grand Prairie, TX

NPI number 1679420285 Active

Practice location

2675 Villa Di Lago Unit 1
Grand Prairie, TX 75054-6650

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X1218764 (TX)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1679420285

Candice Nicole Johnson's National Provider Identifier is 1679420285, issued on Mar 12, 2026. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Grand Prairie, TX. The record was last updated on Mar 12, 2026.