MEDICARE: CARRIE BETH DUNAVANT RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	246965	TN

General Provider Information

NPI Number	:	1518838317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE BETH DUNAVANT RN

Provider Business Mailing Address
First Line	:	60 COURT SQ
Second Line	:
City	:	ERIN
State	:	TN
Zip	:	37061-4166
Country	:	US
Telephone Number	:	731-358-5366
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 COURT SQ
Second Line	:
City	:	ERIN
State	:	TN
Zip	:	37061-4166
Country	:	US
Telephone Number	:	931-289-3463
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	09/15/2025

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