SearchTennessee101YP2500X

Justin Mickles, MS

NPI 1649266388 · on the registry since 2005 · sole proprietor

Practice

Address
933 Tracy Ln Ste D
Clarksville, TN 37040
Phone
(931) 542-6637
Organisation at this address
Compass Family Health Clinic, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Additional practice sites

  • 2001 N 35th St, Omaha, NE
  • 695 Fox Trail Ct, Clarksville, TN

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
101YP2500X
Licence states on file
TN, NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee