Individual
MS. JANET D TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
418 HIGHWAY 58 NORTH UNIT C, TRENTON, NC 28585-9619
(252) 649-2770
Mailing address
418 HWY 58 N UNIT C, TRENTON, NC 28585
(252) 649-2770
(252) 448-1670
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004236
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8973980
—
NC
Enumeration date
02/25/2009
Last updated
04/28/2017
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