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CANDICE RENEE DOUGLAS FNP-C
NPI 1164314738
Nurse Practitioner - Family in Fort Leonard Wood, MO

Active since July 17, 2025
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473(573) 596-0456 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Candice Renee Douglas Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE RENEE DOUGLAS FNP-C (NPI 1164314738) is an individual family provider in Fort Leonard Wood, Missouri, licensed in Missouri (2025029778) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1164314738
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDICE RENEE DOUGLASCredential: FNP-C
Location Address4430 MISSOURI AVEFort Leonard Wood, MO 65473-9098
Mailing Address129 Jared StWaynesville, MO 65583-3452 · (573) 596-0456
Phone(573) 596-0456
Sole ProprietorYes
Enumeration DateJuly 17, 2025
Last NPPES UpdateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
✔ NPI 1164314738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2025029778
4430 MISSOURI AVE, Fort Leonard Wood, MO 65473
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JON-MARC THIBODEAU PA-C
Physician Assistant
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0035
DR. DANIEL A GOOD PHD
Psychologist (Clinical)
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0035
MRS. TERRY L. BRUNO F.N.P.
Nurse Practitioner
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0417
DR. SEAN ELIOT SCOTT MD
Emergency Medicine
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0417
NANCY L GRANDGEORGE AUD
Audiologist
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-9500
ERIC BUNNELL AUD, CCC-A
Audiologist
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0035
ERICA L ASBELL LMSW
Social Worker (Clinical)
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0522
PATRICIA ANH THU VU MD, PHD
Preventive Medicine (Public Health & General Preventive Medicine)
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candice Douglas's NPI number?

The NPI number for Candice Douglas is 1164314738. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Where is Candice Douglas located?

Candice Douglas practices at 4430 Missouri Ave, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-0456.

What is Candice Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Candice Douglas was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.