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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Candace Wilson

Family Medicine Physician in Pine Bluff, AR · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205456217

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Registry record

Entity type Individual (Type 1)
Name Candace Wilson
Sex Female
Practice address 1601 W 40th Ave Ste 100, Pine Bluff, AR, 71603
Fax (870) 541-6010
Enumeration date Apr 20, 2020
Last updated in NPPES Oct 18, 2023

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License E-17243 (AR) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License E-17243 (AR) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1205456217 active?
Yes, as of the latest NPPES snapshot, NPI 1205456217 is active (record last updated 2023-10-18).
How do I verify Candace Wilson's NPI record?
Cross-check NPI 1205456217 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-18.