KELSEY LYN TILLMAN DNP APRN FNP-BC NPI 1104411230

NPI Information

NPI: 1104411230
Provider Name: KELSEY LYN TILLMAN, DNP, APRN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3203 BLATTNER DRIVE
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 803-1884
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Kelsey Lyn Tillman, DNP, APRN, FNP-BC is a family nurse practitioner in Cape Girardeau, MO. Kelsey Lyn Tillman, DNP, APRN, FNP-BC NPI is 1104411230. 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:

3203 BLATTNER DRIVE
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 803-1884
Fax: (573) 768-8429

The enumeration date for this NPI number is 3/1/2021 and was last updated on 3/2/2021.

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	163W00000X	Registered Nurse		2015001994	MISSOURI	No
2	363LF0000X	Nurse Practitioner	Family	2021007044	MISSOURI	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

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