Individual provider · Type 1 NPI
Logan Brooke Tillman, FNP
Family Nurse Practitioner · Baxley, GA
NPI number
1023987690
Active
Practice location
105 E Tollison St
Baxley, GA 31513-0149
Fax (912) 367-9966
Mailing address
5522 Ten Mile Rd
Baxley, GA 31513-6223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN-NP298425 (GA) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Southeast Lung & Critical Care Specialists, PCPulmonary Disease Physician Baxley, GA NPI 1396167557
- The Baxley & Appling County Hospital AuthorityPrimary Care Clinic/Center Baxley, GA NPI 1255570321
- The Baxley and Appling County Hospital AuthorityRural Health Clinic/Center Baxley, GA NPI 1720227895
- Melanie S. Young, FNPFamily Nurse Practitioner Baxley, GA NPI 1679855134
Other family nurse practitioner providers in Baxley
- Shayla Moore Sellers, FNP-CFamily Nurse Practitioner Baxley, GA NPI 1225622392
- Jessica Marie Alferink, FNPFamily Nurse Practitioner Baxley, GA NPI 1235627464
- Amber C. Grantham, FNPFamily Nurse Practitioner Baxley, GA NPI 1235689217
- Mandy Sellers Gjone, NPFamily Nurse Practitioner Baxley, GA NPI 1275864068
- Matthew Hodges, FNP-BCFamily Nurse Practitioner Baxley, GA NPI 1326403932
- Jami Lauren Scott, FNP-BCFamily Nurse Practitioner Baxley, GA NPI 1326957416
- Roscoe Carl Walls Jr., FNP-BCFamily Nurse Practitioner Baxley, GA NPI 1376231597
- Amanda Nicole Deen, MSN, FNP-BCFamily Nurse Practitioner Baxley, GA NPI 1437643517
About NPI 1023987690
Logan Brooke Tillman, FNP's National Provider Identifier is 1023987690, issued on Nov 3, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baxley, GA. The record was last updated on Jun 17, 2026.