Individual provider · Type 1 NPI

Patrice Vivien Tillman, RN, MSN

Adult Psychiatric/Mental Health Registered Nurse · Lawrenceville, GA

NPI number 1992852123 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30045-8444

Fax (770) 822-1698

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse Primary 163WP0809XRN058224 (GA)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1992852123

Patrice Vivien Tillman, RN, MSN's National Provider Identifier is 1992852123, issued on Jan 3, 2007. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 8, 2007.