Jill D Tallman, PA-C is a medical physician assistant in Grand Rapids, MI. Jill D Tallman, PA-C NPI is 1689835720. 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:
4069 LAKE DR SE
SUITE 315
GRAND RAPIDS, MI
ZIP 49546-816
Phone: (616) 284-8950
Fax: (616) 284-8951
The NPI 1689835720 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/20/2008 and was last updated on 3/3/2021.