Individual provider · Type 1 NPI

Candace Isabel Roman

Nurse Practitioner · Valdosta, GA

NPI number 1942085220 Active

Practice location

2810 N Oak St
Valdosta, GA 31602-1716

Mailing address

4400 Ivydale Ct
Valdosta, GA 31602-7632

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN269971 (GU)

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 1942085220

Candace Isabel Roman's National Provider Identifier is 1942085220, issued on Aug 25, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Valdosta, GA. The record was last updated on Aug 25, 2023.