Individual provider · Type 1 NPI

Jacqueline D. Gist-Tillman, REGISTERED NURSE

Registered Nurse · Brooklyn, NY

NPI number 1801154141 Active

Practice location

510 Clermont Ave., Room 211
Brooklyn, NY 11238

Call (718) 857-4646 Map

Mailing address

510 Clermont Ave, Room 211
Brooklyn, NY 11238

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	476472 (NY)

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 1801154141

Jacqueline D. Gist-Tillman, REGISTERED NURSE's National Provider Identifier is 1801154141, issued on Apr 24, 2012. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 24, 2012.