Provider Demographics
NPI:1134663206
Name:ALLMAN, CANDACE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9852 HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:DRESDEN
Mailing Address - State:TN
Mailing Address - Zip Code:38225-1804
Mailing Address - Country:US
Mailing Address - Phone:731-364-2258
Mailing Address - Fax:731-364-2986
Practice Address - Street 1:9852 HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:DRESDEN
Practice Address - State:TN
Practice Address - Zip Code:38225-1804
Practice Address - Country:US
Practice Address - Phone:731-364-2258
Practice Address - Fax:731-364-2986
Is Sole Proprietor?:No
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN160960163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health