Provider Demographics
NPI:1275232373
Name:CHANNING, CANDACE ANN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:ANN
Last Name:CHANNING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:ANN
Other - Last Name:LAMBERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9990 DALLAS PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4135
Mailing Address - Country:US
Mailing Address - Phone:214-387-8288
Mailing Address - Fax:214-387-8289
Practice Address - Street 1:9990 DALLAS PKWY STE 200
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4135
Practice Address - Country:US
Practice Address - Phone:214-387-8288
Practice Address - Fax:214-387-8289
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1111485363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily