JEANINE MARSHALL TILLMAN NPI 1700514593

NPI Information

  • NPI: 1700514593
  • Provider Name: JEANINE MARSHALL TILLMAN
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 18665 MIDWAY RD APT 2117
    DALLAS, TX
    ZIP 75287
  • Phone: (146) 995-1121

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NPI Details

Jeanine Marshall Tillman is a professional counselor in Dallas, TX. Jeanine Marshall Tillman NPI is 1700514593. 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:

18665 MIDWAY RD APT 2117
DALLAS, TX
ZIP 75287-955
Phone: (146) 995-1121

The enumeration date for this NPI number is 8/10/2022 and was last updated on 1/30/2024.

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
1101YP2500XCounselorProfessional87375TEXASYes

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: 3/30/2025

NPI Synchronization or Removal

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