Individual
MRS. CASEY TILLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, GNP
Contact information
Practice address
1600 22ND AVE, MEDICAL TOWERS III, MERIDIAN, MS 39301-3223
(601) 483-5322
(601) 581-2289
Mailing address
1600 22ND AVE, MEDICAL TOWERS III, MERIDIAN, MS 39301-3223
(601) 483-5322
(601) 581-2289
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R870048
MS
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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