Individual provider · Type 1 NPI

Candace Colston

Nurse Practitioner · Dallas, GA

NPI number 1730574450 Active

Practice location

600 W Memorial Dr
Dallas, GA 30132-4117

Mailing address

5665 New Northside Dr, Suite 320
Atlanta, GA 30328-5831

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN138876 (GA)
Nurse Practitioner Primary 363L00000XRN138876 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1730574450

Candace Colston's National Provider Identifier is 1730574450, issued on Mar 31, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, GA. The record was last updated on Mar 31, 2015.