location
search-icon
person
Micah David Renicker, MD
Student in an Organized Health Care Education/Training Program in Jackson, Tennessee
NPI 1528644424

Micah David Renicker is a Student in an Organized Health Care Education/Training Program based in Jackson, TN. Micah David Renicker practices in Jackson, TN and has the professional credentials of MD. The NPI Number for Micah David Renicker is 1528644424 and holds a License No. (Tennessee).

The current practice location address for Micah David Renicker is 294 Summar Dr, Jackson, TN and can be reached out via phone at 731-423-1932 and via fax at 731-660-8739.

Location: 294 Summar Dr, Jackson, TN, 38301-3915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528644424
Provider Name
Micah David Renicker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
294 Summar Dr, Jackson, TN, 38301-3915
Phone Number
731-423-1932
Fax Number
731-660-8739
Provider Enumeration Date
03/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
294 Summar Dr
City
Jackson
State
Tennessee
Zip
38301-3915
Phone Number
731-423-1932
Fax Number
731-660-8739
person
Provider Business Mailing Address Details
Address
294 Summar Dr
City
Jackson
State
Tennessee
Zip
38301-3915
Phone Number
731-423-1932
Fax Number
731-660-8739
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.