Individual provider · Type 1 NPI

Antoinette Michele Tillman, NP

Nurse Practitioner · Towson, MD

NPI number 1043986490 Active

Practice location

6535 N Charles St Ste 500
Towson, MD 21204-5832

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Other practice locations

  • 3722 Dance Mill Rd, Phoenix, MD 21131-2120 · (410) 591-3772

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XR080373 (MD)
Nurse Practitioner Primary 363L00000XR080373 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043986490

Antoinette Michele Tillman, NP's National Provider Identifier is 1043986490, issued on Aug 17, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Towson, MD. The record was last updated on Mar 12, 2025.