Individual
AVA CELESTE MCPEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC, FNP
Contact information
Practice address
2863 HIGHWAY 45 BYP, JACKSON, TN 38305
(731) 422-0213
(731) 660-8366
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 422-0213
(731) 422-0471
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000013062
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3341541
—
TN
Enumeration date
11/27/2007
Last updated
09/05/2018
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