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Contact Information

MIA J CLERMONT, APRN, RN
1330 CEDAR LN STE 900
TULLAHOMA, TN37388-2286
 Phone: 931-455-2674
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MIA J CLERMONT · (Female)

NPI # 1033908546
Status Active
Credentials APRN, RN
Entity Individual
Enumeration date 05/01/2025
Last updated 10/17/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 281436
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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