Individual
DESHELL RAVETTE TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
1720 NE 23RD ST, OKLAHOMA CITY, OK 73111-3324
(405) 280-5550
(405) 280-5780
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(727) 322-3439
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0099284
OK
Other
Enumeration date
08/14/2020
Last updated
10/24/2025
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