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Dr. Crystal Lynne Tillman, DNP,CPNP,PMHNP-BC
Pediatric Nurse Practitioner in Raleigh, North Carolina
NPI 1609112333

Crystal Lynne Tillman is a Pediatric Nurse Practitioner based in Raleigh, NC and is specialized in Pediatrics. Crystal Lynne Tillman practices in Raleigh, NC and has the professional credentials of DNP,CPNP,PMHNP-BC. The NPI Number for Crystal Lynne Tillman is 1609112333 and holds a License No. 300186 (North Carolina).

The current practice location address for Crystal Lynne Tillman is 1055 Dresser Ct, Raleigh, NC and can be reached out via phone at 919-876-3130.

Location: 1055 Dresser Ct, Raleigh, NC, 27605-1104
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Provider Profile Details
NPI Number
1609112333
Provider Name
Crystal Lynne Tillman
Credential
DNP,CPNP,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1055 Dresser Ct, Raleigh, NC, 27605-1104
Phone Number
919-876-3130
Fax Number
Provider Enumeration Date
12/28/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300186 01 NC NURSING AND MEDICAL BOARD PRESCRIBING NUMBER
institution
Provider Business Practice Location Address Details
Address
1055 Dresser Ct
City
State
Zip
27609-7323
Phone Number
919-876-3130
Fax Number
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Provider Business Mailing Address Details
Address
1055 Dresser Ct
City
State
Zip
27609-7323
Phone Number
919-876-3130
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
300186 (North Carolina)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
300186 (North Carolina)
Definition
Definition to come...
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