Individual provider · Type 1 NPI

Connie Kendall Tillman, RN

Case Management Registered Nurse · Fort Stewart, GA

NPI number 1144623596 Active

Practice location

703 E. 9th St. Building 4970
Fort Stewart, GA 31314

Call (912) 435-1384 Map

Mailing address

180 Twin Parks Dr
Jesup, GA 31545-7221

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN091881 (GA)
Case Management Registered Nurse Primary 163WC0400XRN091881 (GA)

Case Management Registered Nurse: Definition to come...

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About NPI 1144623596

Connie Kendall Tillman, RN's National Provider Identifier is 1144623596, issued on Sep 30, 2014. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Fort Stewart, GA. The record was last updated on Sep 30, 2014.