Individual provider · Type 1 NPI

Michaela Mackie Melton

Medical Physician Assistant · Clarksville, TN

NPI number 1184529869 Active

Practice location

651 Dunlop Ln
Clarksville, TN 37040-5015

Mailing address

62A Brookwood Ter
Nashville, TN 37205-1406

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X7383 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1184529869

Michaela Mackie Melton's National Provider Identifier is 1184529869, issued on Oct 12, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clarksville, TN. The record was last updated on Oct 12, 2026.