Individual provider · Type 1 NPI

Stephanie Jo Tillett

Licensed Practical Nurse · St. Cloud, MN

NPI number 1952109902 Active

Practice location

4801 Veterans Dr
St. Cloud, MN 56303-2015

Call (320) 255-6390 Map

Mailing address

17396 Riverwood Dr
Little Falls, MN 56345-6449

Other practice locations

  • 4801 Veterans Dr, St. Cloud, MN 56303-2015 · (320) 255-6390

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X679965 (MN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

976 other providers at this address

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About NPI 1952109902

Stephanie Jo Tillett's National Provider Identifier is 1952109902, issued on Mar 5, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in St. Cloud, MN. The record was last updated on Mar 5, 2025.