IndividualActive
Candice Douglas, FNP-C
NPI 1164314738 · Family Nurse Practitioner · Fort Leonard Wood, MO
Provider details
- NPI number
- 1164314738
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2025029778 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone: (573) 596-0456
Approximate (ZIP-level) locationGet directions
Mailing address
129 Jared St
Waynesville, MO 65583-3452
Registry dates
- Enumerated
- 2025-07-17
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.