Provider Demographics
NPI:1104225408
Name:CLEMENT, JILL FARMER (DPT)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:FARMER
Last Name:CLEMENT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:BROOKS
Other - Last Name:FARMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 N THOMPSON LN
Mailing Address - Street 2:STE H
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4307
Mailing Address - Country:US
Mailing Address - Phone:615-678-0024
Mailing Address - Fax:615-610-6331
Practice Address - Street 1:5505 EDMONDSON PIKE
Practice Address - Street 2:STE. 103
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5872
Practice Address - Country:US
Practice Address - Phone:615-831-1710
Practice Address - Fax:615-831-1968
Is Sole Proprietor?:No
Enumeration Date:2014-08-22
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000010195225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I351741Medicare PIN