Individual provider · Type 1 NPI
Janice Johnson Tillman, FNP-BC
Family Nurse Practitioner · Jackson, MS
NPI number
1497380711
Active
Practice location
5429 Robinson Road Ext
Jackson, MS 39204-4138
Fax (601) 914-0170
Mailing address
2050 Russell J Tillman Rd
Edwards, MS 39066-9101
Other practice locations
- 2050 Russell J Tillman Rd, Edwards, MS 39066-9101 · (601) 988-3728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 884780 (MS) |
| Family Nurse Practitioner Primary | 363LF0000X | 904041 (MS) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Jackson
- Christian R. Fortenberry, FNPFamily Nurse Practitioner Jackson, MS NPI 1003415266
- Caryl P. Sumrall, FNPFamily Nurse Practitioner Jackson, MS NPI 1003840646
- Katrice Pacley Andrews, FNP-CFamily Nurse Practitioner Jackson, MS NPI 1013451780
- Ericia Latrice Cannon, NURSE PRACTITONERFamily Nurse Practitioner Jackson, MS NPI 1013473891
- Donna Carol Ricotta, NPFamily Nurse Practitioner Jackson, MS NPI 1013614064
- Jequetta Shureka Ilion McLaurin, FNPFamily Nurse Practitioner Jackson, MS NPI 1013698513
- Jocelyn Patrice Seawood, FNP-CFamily Nurse Practitioner Jackson, MS NPI 1013699057
- Tatonja Rashetta Jones, NPFamily Nurse Practitioner Jackson, MS NPI 1013989953
About NPI 1497380711
Janice Johnson Tillman, FNP-BC's National Provider Identifier is 1497380711, issued on Mar 6, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Jun 21, 2021.