Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON ROBERT MCNICKLE, PA-C
ActiveBRANDON ROBERT MCNICKLE, PA-C is a Physician Assistant healthcare provider located in GOODLETTSVILLE, Tennessee. NPI 1053789719 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GOODLETTSVILLE, TN
Registration Details
- NPI Number
- 1053789719
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2015 (10.882186236553 yrs)
- Last Updated
- Apr 3, 2023
Practice Information
- Address
-
201 BLUEBIRD DRGOODLETTSVILLE, TN, 370722301Browse TN providers · Browse ZIP 37072
- Phone
- 6158597546
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GOODLETTSVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. BRYN MAYBERRY SOUTHARDS | PA-C | 1255421954 |
| IWAZ M BARWARI | PA-C | 1184875635 |
| ASHLY ANN ROBY PARKER | PA-C | 1942719216 |
| SAMANTHA NOEL CRAIGHEAD | PA-C | 1023528262 |
| MRS. ALEXIS KEEN | PA-C | 1457834590 |
| KRISTEN GRACE KASER | — | 1255908091 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.