Tillman, Shari
Tillman, Shari is an sole proprietor health care provider with primary practice located at 5005 Port St John Pkwy , Cocoa FL 32927-4305. 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, Shari can be contacted via phone (321) 504-0556.Contact Information
Primary practice address
5005 Port St John Pkwy
Cocoa FL 32927-4305
Phone: (321) 504-0556
Fax: (321) 504-0773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11007581 | Florida |
Profile Details
| NPI number | 1568080422 |
|---|---|
| LBN Legal business name | Tillman, Shari |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2020 |
| Last updated | Dec 14th, 2020 - about 4 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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