Provider Demographics
NPI:1306496054
Name:COMPASS FAMILY HEALTH CLINIC, PLLC
Entity type:Organization
Organization Name:COMPASS FAMILY HEALTH CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:TESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:615-667-6799
Mailing Address - Street 1:933 TRACY LN STE D
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-6894
Mailing Address - Country:US
Mailing Address - Phone:615-667-6799
Mailing Address - Fax:833-450-5889
Practice Address - Street 1:933 TRACY LN STE D
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-6894
Practice Address - Country:US
Practice Address - Phone:615-667-6799
Practice Address - Fax:833-450-5889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-15
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ055967Medicaid