Individual provider · Type 1 NPI

Crystal Lynne Tillman, DNP, CPNP, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Raleigh, NC

NPI number 1609112333 Active

Practice location

1055 Dresser Ct
Raleigh, NC 27609-7323

Mailing address

830 Bryan St
Raleigh, NC 27605-1104

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X300186 (NC)
Pediatric Nurse Practitioner 363LP0200X300186 (NC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1609112333

Crystal Lynne Tillman, DNP, CPNP, PMHNP-BC's National Provider Identifier is 1609112333, issued on Dec 28, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Raleigh, NC. The record was last updated on Oct 28, 2015.