JACQUELINE TILLERY NPI 1578211496

NPI Information

NPI: 1578211496
Provider Name: JACQUELINE TILLERY
Classification: Assisted Living Facility - 310400000X
Entity Type: Individual
Address:
9441 KYLIE CIR
ANCHORAGE, AK
ZIP 99502
Phone: (919) 808-7163
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Jacqueline Tillery is an assisted living facility in Anchorage, AK. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. Jacqueline Tillery NPI is 1578211496. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9441 KYLIE CIR
ANCHORAGE, AK
ZIP 99502-448
Phone: (919) 808-7163

The enumeration date for this NPI number is 3/10/2022 and was last updated on 5/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TM1800X	Psychologist	Intellectual and Developmental Disabilities			No
2	310400000X	Assisted Living Facility				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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