Individual
CANDACE LYNN AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
620 SKYLINE DR, JACKSON, TN 38301-3923
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000218086
TN
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
114531
NE
Other
Enumeration date
04/19/2021
Last updated
12/22/2022
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