Individual
JACKIE TILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1814 N MORRISON BLVD, HAMMOND, LA 70401-1551
(985) 419-2430
(985) 419-2431
Mailing address
1814 N MORRISON BLVD, HAMMOND, LA 70401-1551
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538386875
—
LA
Enumeration date
03/09/2021
Last updated
03/09/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us