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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. GERICA MICHELLE TILLMAN, REGISTERED NURSE

Active Sole Proprietor

MS. GERICA MICHELLE TILLMAN, REGISTERED NURSE is a Registered Nurse healthcare provider located in SHREVEPORT, Louisiana. NPI 1730753435 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · SHREVEPORT, LA

Registration Details

NPI Number
1730753435
Provider Type
Individual
Gender
Female
NPI Issued
May 17, 2021 (5.2033215088521 yrs)
Last Updated
Sep 12, 2022
Licenses
20180753 (LA)
206282 (LA)
Sole Proprietor
Yes

Practice Information

Address
151 FREESTATE BLVD
SHREVEPORT, LA, 711076535
Browse LA providers · Browse ZIP 71107
Phone
3182265990
Fax
3186750543
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Registered Nurse

Other Registered Nurse Providers in SHREVEPORT, LA

Name Credential NPI
MR. DANIEL NICK GREEN RN 1679547681
MRS. LESLIE BROOKS SHINPOCH CRNA 1073530721
MRS. MELANIE FLETCHER CONNOR RN FA 1639192867
RICHARD DAVID RICHARDSON RN 1013073246
MRS. SHARON E. MOORE RN 1346395977
DEBRA RENEE BELLAMY 1356562771
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.