Provider Demographics
NPI:1326915059
Name:JONES, CANDIS NICOLE (FNP-C)
Entity type:Individual
Prefix:
First Name:CANDIS
Middle Name:NICOLE
Last Name:JONES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CANDIS
Other - Middle Name:NICOLE
Other - Last Name:NOVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1489 W KATELYN CREEK LN
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84025-4468
Mailing Address - Country:US
Mailing Address - Phone:951-970-9992
Mailing Address - Fax:
Practice Address - Street 1:1489 W KATELYN CREEK LN
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:UT
Practice Address - Zip Code:84025-4468
Practice Address - Country:US
Practice Address - Phone:951-970-9992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-18
Last Update Date:2025-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95037431363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner