CANDACE LYNN AVERY APRN NPI 1386225621

NPI Information

NPI: 1386225621
Provider Name: CANDACE LYNN AVERY, APRN
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Individual

Specialization: Neonatal, Critical Care

PECOS Registration: Yes

Address:
620 SKYLINE DR
JACKSON, TN
ZIP 38301
Phone: (731) 541-5000
Get Directions

Candace Lynn Avery, APRN is a neonatal and critical care nurse practitioner in Jackson, TN. Candace Lynn Avery, APRN NPI is 1386225621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

620 SKYLINE DR
JACKSON, TN
ZIP 38301-923
Phone: (731) 541-5000

The NPI 1386225621 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/19/2021 and was last updated on 12/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		0000218086	TENNESSEE	No
2	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	114531	NEBRASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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