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Nathaniel Tillman
Licensed Practical Nurse in Wesson, Mississippi
NPI 1417350323

Nathaniel Tillman is a Licensed Practical Nurse based in Wesson, MS. Nathaniel Tillman practices in Wesson, MS. The NPI Number for Nathaniel Tillman is 1417350323 and holds a License No. P318494 (Mississippi).

The current practice location address for Nathaniel Tillman is 2124 John Smith Ln, Wesson, MS and can be reached out via phone at 601-754-4651.

Location: 2124 John Smith Ln, Wesson, MS, 39191-7733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417350323
Provider Name
Nathaniel Tillman
Credential
Provider Entity Type
Individual
Gender
Male
Address
2124 John Smith Ln, Wesson, MS, 39191-7733
Phone Number
601-754-4651
Fax Number
Provider Enumeration Date
10/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2124 John Smith Ln
City
Wesson
State
Mississippi
Zip
39191-7733
Phone Number
601-754-4651
Fax Number
person
Provider Business Mailing Address Details
Address
2124 John Smith Ln
City
Wesson
State
Mississippi
Zip
39191-7733
Phone Number
601-754-4651
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
P318494 (Mississippi)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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