Individual provider · Type 1 NPI

Marva J. Tilleman

Nurse Practitioner · Fort Worth, TX

NPI number 1346118536 Active

Practice location

923 Pennsylvania Ave Ste 100
Fort Worth, TX 76104-2254

Call (817) 920-0484 Map

Fax (817) 920-0086

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1216312 (TX)

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 1346118536

Marva J. Tilleman's National Provider Identifier is 1346118536, issued on Oct 28, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 28, 2025.