Individual provider · Type 1 NPI
Candice Leigh Heavener, FNP-C
Family Nurse Practitioner · Tiplersville, MS
NPI number
1720754476
Active
Practice location
24111 Highway 15
Tiplersville, MS 38674
Fax (662) 235-9157
Mailing address
2820 County Road 301
Falkner, MS 38629-9321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 30118 (TN) |
| Family Nurse Practitioner Primary | 363LF0000X | 907123 (MS) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1720754476
Candice Leigh Heavener, FNP-C's National Provider Identifier is 1720754476, issued on Aug 20, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tiplersville, MS. The record was last updated on Jul 11, 2025.