NATHANIEL TILLMAN NPI 1417350323

NPI Information

  • NPI: 1417350323
  • Provider Name: NATHANIEL TILLMAN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 2124 JOHN SMITH LN
    WESSON, MS
    ZIP 39191
  • Phone: (601) 754-4651

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NPI Details

Nathaniel Tillman is a licensed practical nurse in Wesson, MS. The provider is a licensed practical nurse 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. Nathaniel Tillman NPI is 1417350323. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2124 JOHN SMITH LN
WESSON, MS
ZIP 39191-733
Phone: (601) 754-4651

The enumeration date for this NPI number is 10/6/2014 and was last updated on 10/6/2014.

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
1164W00000XLicensed Practical NurseP318494MISSISSIPPIYes

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: 11/21/2025

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