AVA CELESTE MCPEAKE APRN-BC FNP NPI 1760664247

NPI Information

NPI: 1760664247
Provider Name: AVA CELESTE MCPEAKE, APRN-BC, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: JACKSON CLINIC PA

PECOS Registration: Yes

Address:
2863 HIGHWAY 45 BYP
JACKSON, TN
ZIP 38305
Phone: (731) 422-0213
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Ava Celeste Mcpeake, APRN-BC, FNP is a family nurse practitioner in Jackson, TN with 17 years of experience. Ava Celeste Mcpeake, APRN-BC, FNP NPI is 1760664247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

2863 HIGHWAY 45 BYP
JACKSON, TN
ZIP 38305
Phone: (731) 422-0213
Fax: (731) 660-8366

The NPI 1760664247 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/27/2007 and was last updated on 9/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN0000013062	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3341541	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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