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Contact Information

KAITLYN A AVERETT, FNPC
107 JV MANGUBAT DR
WAYNESBORO, TN38485-2440
 Phone: 931-722-2800
 Fax: 931-722-9627
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KAITLYN A AVERETT · (Female)

NPI Number 1780143297
Status Active
Credentials FNPC
Entity Individual
Enumeration date 03/14/2019
Last updated 02/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 25512
  • TN License # APN25512
Hospital affiliation(s)
  • WAYNE MEDICAL CENTER - (Acute Care)
    103 J V MANGUBAT DR
    WAYNESBORO, TN 38485
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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