Candice Nicole Short
NP | Nurse Practitioner - Family
2151 Century Ln, Johnson City
Tennessee, 37604-4469
423-439-4515
Candice Nicole Short is a Johnson City, Tennessee based nurse practitioner who is specialized as Family nurse. Active license number of Candice Nicole Short is 19004 for Family in Tennessee. Her current practice location is 2151 Century Ln, Johnson City. Patients can reach her at 423-439-4515 or can fax her at 423-439-5780. Candice Nicole Short is NP with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1407264971.
Candice Nicole Short delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Candice Nicole Short speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Candice Nicole Short |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 2151 Century Ln, Johnson City,
Tennessee, 37604-4469 |
| Phone: | 423-439-4515 |
| Fax: | 423-439-5780 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1407264971 |
| NPI Enumeration Date: | 29 Jul, 2014 |
| NPI Last Update On: | 03 May, 2017 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Candice Nicole Short are as mentioned below.
| License Number | Specialization | State | Status | |
| 19004 | Family | Tennessee | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Candice Nicole Short such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| Q007448 | Medicaid | Tennessee | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Candice Nicole Short
365 Stout Drive,
Johnson City, Tennessee |
| Zip: | 37614-1703 |
| Phone Number: | 423-439-4515 |
| Fax Number: | 423-439-5780 |
Patients can reach Candice Nicole Short at
2151 Century Ln, Johnson City, Tennessee or can
call to book an appointment on 423-439-4515.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.