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Search › Georgia › Psychiatric/Mental Health Nurse Practitioner

Kenosha Tillman, NURSE PRACTITIONER

NPI 1275886103 · on the registry since 2012

Practice

Address
5220 Rosewood Pl
Fairburn, GA 30213
Phone
(901) 277-7086

Additional practice sites

  • 101 Webb Avenue, Bruce, MS
  • 1255 Highway 54 W, Fayetteville, GA

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia