Healthcare Provider Details

I. General information

NPI: 1487520490
Provider Name (Legal Business Name): MILDRED MAEGAN CLEMENTS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAEGAN CLEMENTS FNP-C

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8801 CHAFFEE RD
ARLINGTON TN
38002-1545
US

IV. Provider business mailing address

5725 MAGNOLIA WOODS DR
BARTLETT TN
38134-5445
US

V. Phone/Fax

Practice location:
  • Phone: 901-846-6555
  • Fax:
Mailing address:
  • Phone: 901-846-6555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number40085
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: