Individual provider · Type 1 NPI

Gerica Michelle Tillman, REGISTERED NURSE

Registered Nurse · Shreveport, LA

NPI number 1730753435 Active

Practice location

151 Freestate Blvd
Shreveport, LA 71107-6535

Call (318) 226-5990 Map

Fax (318) 675-0543

Mailing address

220 Decatur St
Bossier City, LA 71111-6258

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X20180753 (LA)
Registered Nurse Primary 163W00000X206282 (LA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1730753435

Gerica Michelle Tillman, REGISTERED NURSE's National Provider Identifier is 1730753435, issued on May 17, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Shreveport, LA. The record was last updated on Sep 12, 2022.