Healthcare Provider Details

I. General information

NPI: 1083798169
Provider Name (Legal Business Name): MICHAEL D HAIGHT D.C., FNP, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 JOEL DR
FORT CAMPBELL KY
42223-8355
US

IV. Provider business mailing address

2454 ELLSWORTH DR
CLARKSVILLE TN
37043-2004
US

V. Phone/Fax

Practice location:
  • Phone: 270-412-6555
  • Fax:
Mailing address:
  • Phone: 423-503-8392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3011150
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC2153
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number22328
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number193152
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: