Individual provider · Type 1 NPI
Candace Lynn Avery, APRN
Critical Care Neonatal Nurse Practitioner · Jackson, TN
NPI number
1386225621
Active
Practice location
620 Skyline Dr
Jackson, TN 38301-3923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0000218086 (TN) |
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | 114531 (NE) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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About NPI 1386225621
Candace Lynn Avery, APRN's National Provider Identifier is 1386225621, issued on Apr 19, 2021. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Jackson, TN. The record was last updated on Dec 22, 2022.