Tillman, Gerica Michelle

Tillman, Gerica Michelle is an sole proprietor health care provider with primary practice located at 151 Freestate Blvd , Shreveport LA 71107-6535. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Tillman, Gerica Michelle can be contacted via phone (318) 226-5990.

Contact Information

Primary practice address
151 Freestate Blvd Shreveport LA 71107-6535
Phone: (318) 226-5990
Fax: (318) 675-0543
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 20180753 Louisiana
Nursing Service Providers / Registered Nurse 163W00000X 206282 Louisiana

Profile Details

NPI number 1730753435
LBN Legal business name Tillman, Gerica Michelle
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2021
Last updated Sep 12th, 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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