# COMPASSION CARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stacey Michelin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164982443
- **Authorized official:** STACEY MICHELIN FNP (OFFICE MANAGER)
- **Authorized official phone:** (806) 626-3760

## Contact information

- **Practice address:** 2443 OLD RUSSELLVILLE PIKE, CLARKSVILLE, TN 37040
- **Practice address phone:** (931) 542-9010
- **Practice address fax:** (931) 919-0286
- **Mailing address:** 2443 OLD RUSSELLVILLE PIKE, CLARKSVILLE, TN 37040
- **Mailing address phone:** (931) 542-9010
- **Mailing address fax:** (844) 557-9435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2019
- **Last updated:** 05/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | Q044516 | — | TN |