Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS KENOSHA LATRICE TILLMAN, NURSE PRACTITIONER
ActiveMISS KENOSHA LATRICE TILLMAN, NURSE PRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in FAIRBURN, Georgia. NPI 1275886103 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · FAIRBURN, GA
Registration Details
- NPI Number
- 1275886103
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2012 (13.640046042205 yrs)
- Last Updated
- Nov 7, 2024
- License
-
GAA-NP000960 (GA)
Practice Information
- Address
-
5220 ROSEWOOD PLFAIRBURN, GA, 302135113Browse GA providers · Browse ZIP 30213
- Phone
- 9012777086
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in FAIRBURN, GA
| Name | Credential | NPI |
|---|---|---|
| MS. SANDRA WEST | REGISTERED NURSE | 1366648156 |
| RYKEYLA BRIDGES | PMHNP-BC | 1326602053 |
| MISS SHAQUANDA SHANTIVUS GORDON | PMHNP-BC | 1891475430 |
| KEESHA TAMARA MARIA HAMILTON-FOWLER | NP | 1962220970 |
| LUCIA ADEBESIN | — | 1326861030 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.