Tillery, Jacqueline

Tillery, Jacqueline is an sole proprietor health care provider with primary practice located at 9441 Kylie Cir , Anchorage AK 99502-1448. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Nursing & Custodial Care Facilities / Assisted Living Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is her primary health care specialty. Tillery, Jacqueline can be contacted via phone (919) 808-7163.

Contact Information

Primary practice address
9441 Kylie Cir Anchorage AK 99502-1448
Phone: (919) 808-7163
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1578211496
LBN Legal business name Tillery, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2022
Last updated May 2nd, 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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