Provider Demographics
NPI:1417470477
Name:AUSTIN, MICHELLE YVETTE (ATC, PA-C)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:YVETTE
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:ATC, PA-C
Other - Prefix:
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Mailing Address - Street 1:3443 DICKERSON PIKE STE 520
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2520
Mailing Address - Country:US
Mailing Address - Phone:615-860-5540
Mailing Address - Fax:615-860-5539
Practice Address - Street 1:3443 DICKERSON PIKE STE 520
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2520
Practice Address - Country:US
Practice Address - Phone:615-860-5540
Practice Address - Fax:615-860-5539
Is Sole Proprietor?:No
Enumeration Date:2017-07-21
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN4487363A00000X, 363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant