Individual
AMBER RACHELLE TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
760C NW BROAD ST, SOUTHERN PINES, NC 28387-4102
(916) 431-0236
(855) 259-0680
Mailing address
760C NW BROAD ST, SOUTHERN PINES, NC 28387-4102
(916) 431-0236
(855) 259-0680
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
5018651
NC
363LF0000X
Family Nurse Practitioner
Primary
5018651
NC
Other
Enumeration date
08/17/2023
Last updated
01/29/2025
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