Provider Demographics
NPI:1881152502
Name:BAKER, CANDICE NICOLE (DC)
Entity type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:NICOLE
Last Name:BAKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 FRIAR TUCK DR
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2741
Mailing Address - Country:US
Mailing Address - Phone:731-514-2664
Mailing Address - Fax:
Practice Address - Street 1:992 DAVIDSON DR STE 102
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-1051
Practice Address - Country:US
Practice Address - Phone:615-609-5472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-12
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3174111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor