Individual provider · Type 1 NPI

Bianca D. Tillery, LPN

Licensed Practical Nurse · Memphis, TN

NPI number 1336058890 Active

Practice location

6029 Walnut Grove Rd Ste 209
Memphis, TN 38120-2112

Fax (901) 821-9987

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X104394 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1336058890

Bianca D. Tillery, LPN's National Provider Identifier is 1336058890, issued on Sep 2, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Memphis, TN. The record was last updated on Sep 2, 2026.