Healthcare Provider Details

I. General information

NPI: 1235760273
Provider Name (Legal Business Name): ALISON CLEMENT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2020
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6576 E DAVIDSON RD
SOUTH FULTON TN
38257-7151
US

IV. Provider business mailing address

6576 E DAVIDSON RD
SOUTH FULTON TN
38257-7151
US

V. Phone/Fax

Practice location:
  • Phone: 731-796-5737
  • Fax:
Mailing address:
  • Phone: 731-796-5737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number27048
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: