Tillman, Janice H

Tillman, Janice H is an individual health care provider with primary practice located at 152 Highway 143 , Roan Mountain TN 37687-3002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tillman, Janice H can be contacted via phone (423) 772-3276.

Contact Information

Primary practice address
152 Highway 143 Roan Mountain TN 37687-3002
Phone: (423) 772-3276
Fax: (423) 772-4816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6192 Tennessee

Profile Details

NPI number 1144225954
LBN Legal business name Tillman, Janice H
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Sep 11th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144225954 NPPES
Tennessee MEDICAID 3343322
Tennessee Other 3039321

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