Individual
KAITLYN ANNE AVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
107 JV MANGUBAT DR, WAYNESBORO, TN 38485-2440
(931) 722-2800
(931) 722-9627
Mailing address
PO BOX 689, WAYNESBORO, TN 38485-0689
(931) 722-2800
(931) 722-9627
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25512
TN
363LP2300X
Primary Care Nurse Practitioner
APN25512
TN
Other
Enumeration date
03/14/2019
Last updated
02/04/2021
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