Candice Leigh Heavener, FNP-C is a
Nurse Practitioner - Family based in Tiplersville, Mississippi. Candice Leigh Heavener is licensed to practice in Mississippi (license number 907123) and her current practice location is
24111 Highway 15, Tiplersville, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 882-3635.
NPI number for Candice Leigh Heavener is 1720754476 and her current mailing address is 2820 County Road 301, Falkner, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720754476.
Provider's Profile
Full Name | Candice Leigh Heavener |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 24111 Highway 15, Tiplersville, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720754476
- Provider Enumeration Date: 08/20/2021
- Last Update Date: 05/07/2025
Medical Identifiers
Medical identifiers for Candice Leigh Heavener such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720754476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 30118 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 907123 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candice Leigh Heavener is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Candice Leigh Heavener, FNP-C 2820 County Road 301, Falkner, MS 38629-9321 Ph: (662) 882-3635 | Candice Leigh Heavener, FNP-C 24111 Highway 15, Tiplersville, MS 38674 Ph: (662) 882-3635 |
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