Jill Tallman, PA-C

NPI 1689835720 · on the registry since 2008

Practice

Address: 4069 Lake Dr Se
Suite 315
Grand Rapids, MI 49546
Phone: (616) 284-8950
Fax: (616) 284-8951
Organisation at this address: Spectrum Health
Michigan Medical Pc
Spectrum Health Hospitals
Michigan Medical Patient Care
Michigan Medical Patient Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 120

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-03-03

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 Michigan