Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDACE CHARLISA JENNETTE, MASTER'S EDUCATION
Active Sole ProprietorCANDACE CHARLISA JENNETTE, MASTER'S EDUCATION is a Early Intervention Provider Agency healthcare provider located in RALEIGH, North Carolina. NPI 1073195327 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · RALEIGH, NC
Registration Details
- NPI Number
- 1073195327
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 26, 2021 (5.2734632557181 yrs)
- Last Updated
- Apr 28, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
700 MARSH GRASS DRRALEIGH, NC, 276102194Browse NC providers · Browse ZIP 27610
- Phone
- 9193897686
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
- Additional Specialty
- Early Intervention Provider Agency
Other Early Intervention Provider Agency Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| MALIKATA RAHIMA BLAKEY | M.ED | 1245403765 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.