Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candice Nicole Johnson

Individual provider Women's Health Nurse Practitioner · NPI 1679420285

Candice Nicole Johnson is a Women's Health Nurse Practitioner in Grand Prairie, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

2675 Villa Di Lago Unit 1
Grand Prairie, TX 75054-6650
Phone: (682) 888-7353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 1218764 (TX)

Record details

NPI number1679420285
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 12, 2026
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address2675 Villa Di Lago Unit 1, Grand Prairie, TX 75054-6650

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