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Contact Information

CANDACE L AVERY, APRN
620 SKYLINE DR
JACKSON, TN38301-3923
 Phone: 731-541-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CANDACE L AVERY · (Female)

NPI Number 1386225621
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 04/19/2021
Last updated 12/22/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NE License # 114531
  • TN License # 0000218086
Hospital affiliation(s) Not Available
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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