NPI 1336617059

Micaela L Goebel, PAC

Practitioner Medical Physician Assistant Clinton, TN

Practice location

Address: 120 Tanner Pl Bldg H, Clinton, TN 37716-6684
Phone: (865) 264-4012
Fax: (423) 567-4722
Mailing address: PO Box 787, Jacksboro, TN 37757-0787

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 3700 (TN)

Other Physician Assistant providers in Tennessee →

Registry record

NPI: 1336617059
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2018
Record last updated: 21 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.