Boney, Jennifer Tillman

Boney, Jennifer Tillman is an individual health care provider with primary practice located at 208 Malloy St Ste B , Goldsboro NC 27534-4478. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Boney, Jennifer Tillman can be contacted via phone (984) 520-6080.

Contact Information

Primary practice address
208 Malloy St Ste B Goldsboro NC 27534-4478
Phone: (984) 520-6080
Fax: (984) 520-6081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 171855 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5015694 North Carolina

Profile Details

NPI number 1366109894
LBN Legal business name Boney, Jennifer Tillman
Credentials MSN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2021
Last updated Jun 30th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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