Provider Demographics
NPI:1649899014
Name:CLEVLEN, HILLARIE MORGAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HILLARIE
Middle Name:MORGAN
Last Name:CLEVLEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HILLARIE
Other - Middle Name:MORGAN
Other - Last Name:SHIELDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3080 OLD MURFREESBORO RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGE GROVE
Mailing Address - State:TN
Mailing Address - Zip Code:37046-8905
Mailing Address - Country:US
Mailing Address - Phone:615-663-4691
Mailing Address - Fax:
Practice Address - Street 1:2014 QUAIL HOLLOW CIR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5967
Practice Address - Country:US
Practice Address - Phone:615-663-4691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN382721835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric