Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Allen Revelle, MD

Individual provider Emergency Medicine Physician · NPI 1295714558

Michael Allen Revelle, MD is an Emergency Medicine Physician in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

708 W Forest Ave
Jackson, TN 38301-3901
Phone: (731) 660-8759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD34579 (TN)

Record details

NPI number1295714558
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 13, 2006
Last updated in NPPESJuly 16, 2009

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