Misty Clackum, RD, CSP, LDN

NPI 1073944492 · on the registry since 2013 · sole proprietor

Practice

Address: 1814 Treesort Vw
Gainesville, GA 30506
Phone: (423) 284-5512
Fax: (770) 470-0770
Organisation at this address: Misty Clackum Nutrition Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 133V00000X
133V00000X
Also registered as: 133VN1004X
133VN1004X
133VN1401X
Licence states on file: TN, GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-07-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia