Provider Demographics
NPI:1316263486
Name:INGS, CANDICE MICHELE (APRN)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:MICHELE
Last Name:INGS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 945385
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30394-5385
Mailing Address - Country:US
Mailing Address - Phone:386-943-3270
Mailing Address - Fax:822-943-9112
Practice Address - Street 1:1070 N STONE ST STE D
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-0824
Practice Address - Country:US
Practice Address - Phone:386-943-3270
Practice Address - Fax:386-822-9112
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9195186363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily