Individual provider · Type 1 NPI
Deryus Tillman, DNP, NP-C
Family Nurse Practitioner · Opelika, AL
NPI number
1821742594
Active
Practice location
2564 Enterprise Dr
Opelika, AL 36801-6860
Mailing address
48 Willow Trace Dr
Phenix City, AL 36869-7105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | GAA-NP003150 (GA) |
| Family Nurse Practitioner Primary | 363LF0000X | 1-197726 (AL) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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- Meredith Strickland Blythe, FNP-BCFamily Nurse Practitioner Opelika, AL NPI 1134461551
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- William Forrest Bonner, CRNPFamily Nurse Practitioner Opelika, AL NPI 1154989457
About NPI 1821742594
Deryus Tillman, DNP, NP-C's National Provider Identifier is 1821742594, issued on Feb 10, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Opelika, AL. The record was last updated on Feb 5, 2025.