Individual
MRS. SHAKEVA TILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
135 EAGLES WALK, STOCKBRIDGE, GA 30281-7206
(470) 726-4147
Mailing address
PO BOX 531, MORELAND, GA 30259-0531
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN287171
GA
Other
Enumeration date
09/05/2023
Last updated
12/11/2025
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