Ava Celeste Mcpeake is a Family in Jackson, Tennessee. Ava Celeste Mcpeake practices all healthcare services and medical treatments related to Family. The NPI Number for Ava Celeste Mcpeake is 1760664247. The last update date is 2018-09-05.
Ava Celeste Mcpeake's current location address is Po Box 400, Jackson, Tennessee. You can contact this provider via phone number 7314220213 and fax number 7314220471. The mailing address for Ava Celeste Mcpeake is Po Box 400, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ava Celeste Mcpeake |
|---|---|
| Address | Po Box 400, Jackson, Tennessee |
| Phone Number | 7314220213 |
| Fax Number | 7314220471 |
| Sole Proprietor | N |
| Credentials | APRN-BC, F |
NPI Number Detail
| NPI Number | 1760664247 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2018-09-05 |
Provider Mailing Address Detail
| Address | Po Box 400 |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383020400 |
| Phone Number | 7314220213 |
| Fax Number | 7314220471 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | APN000001306 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3341541 | TN | -- |
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What is the unique provider identifier assigned to Ava Celeste Mcpeake?
The Ava Celeste Mcpeake has been issued the NPI (National Provider Identifier) 1760664247 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Ava Celeste Mcpeake located?
The Ava Celeste Mcpeake is located at Po Box 400, Jackson, TN 383020400.
What is Ava Celeste Mcpeake's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ava Celeste Mcpeake is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date was the 1760664247 assigned to Ava Celeste Mcpeake?
The Ava Celeste Mcpeake was issued its 1760664247 on 2007-11-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ava Celeste Mcpeake most recently updated or revised?
The information pertaining to Ava Celeste Mcpeake, including its address, specialty, and other relevant details, was last updated or revised on 2018-09-05.