Provider Demographics
NPI:1932118049
Name:KNIGHT, CANDICE (PHD, RN, APNC)
Entity Type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:PHD, RN, APNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 4TH ST
Mailing Address - Street 2:
Mailing Address - City:FRENCHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08825-1152
Mailing Address - Country:US
Mailing Address - Phone:908-996-7144
Mailing Address - Fax:908-996-7123
Practice Address - Street 1:3 4TH ST
Practice Address - Street 2:
Practice Address - City:FRENCHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08825-1152
Practice Address - Country:US
Practice Address - Phone:908-996-7144
Practice Address - Fax:908-996-7123
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC04611800364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult