Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jill T. Proctor, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1639250624

Jill T. Proctor, ANP is a Nurse Practitioner in Clarksville, Tennessee. Qualified in 1999, 27 years ago. Practices with Cumberland Skin Surgery and Dermatology, a 55-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
27
Licensed in
TN
In the registry since
2006
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Practice location Address checks out

781 Weatherly Dr Apt C
Clarksville, TN 37043-8954
Phone: (931) 444-5040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 7799 (TN)

Record details

NPI number1639250624
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorYes
NPI enumeratedOctober 18, 2006
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Cumberland Skin Surgery And Dermatology — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clarksville