NPI 1023371820
Candice Nicole Hackler, BS
Practice location
- Address
- 200 W Fairview Ave, Johnson City, TN 37604-5611
- Phone
- (877) 928-9062
- Fax
- (423) 467-3644
- Mailing address
- 1167 Spratlin Park Dr, Gray, TN 37615-6205
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1023371820
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Jun 2012
- Record last updated
- 18 Jun 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.