Provider Demographics
NPI:1396160511
Name:SEYMOUR, CANDYCE (CRNP)
Entity type:Individual
Prefix:MS
First Name:CANDYCE
Middle Name:
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CANDYCE
Other - Middle Name:
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5870 ALUMNI CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36688-0002
Mailing Address - Country:US
Mailing Address - Phone:251-460-7151
Mailing Address - Fax:251-414-8227
Practice Address - Street 1:5870 ALUMNI CIRCLE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36688-3053
Practice Address - Country:US
Practice Address - Phone:251-460-7151
Practice Address - Fax:251-414-8227
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-119398363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health