person
Miss Kenosha Latrice Tillman, NURSEPRACTITIONER
Psychiatric/Mental Health Nurse Practitioner in Fairburn, Georgia
NPI 1275886103

Kenosha Latrice Tillman is a Psychiatric/Mental Health Nurse Practitioner based in Fairburn, GA and is specialized in Psychiatric/Mental Health. Kenosha Latrice Tillman practices in Fairburn, GA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Kenosha Latrice Tillman is 1275886103 and holds a License No. GAA-NP000960 (Georgia).

The current practice location address for Kenosha Latrice Tillman is 5220 Rosewood Pl, Fairburn, GA and can be reached out via phone at 901-277-7086.

Location: 5220 Rosewood Pl, Fairburn, GA, 30213-5113
person
Provider Profile Details
NPI Number
1275886103
Provider Name
Kenosha Latrice Tillman
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
5220 Rosewood Pl, Fairburn, GA, 30213-5113
Phone Number
901-277-7086
Fax Number
Provider Enumeration Date
10/16/2012
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
5220 Rosewood Pl
City
State
Zip
30213-5113
Phone Number
901-277-7086
Fax Number
person
Provider Business Mailing Address Details
Address
5220 Rosewood Pl
City
State
Zip
30213-5113
Phone Number
901-277-7086
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
GAA-NP000960 (Georgia)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.