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Tillen Joseph Perry, APRN

Nurse Practitioner, Gerontology in Cincinnati, OH. Individual provider (NPI-1).

NPI number1164069019
StatusActive
Last updated in NPPESJan 10, 2020

Details

NPI
1164069019
Entity type
Individual (NPI-1)
Name
Mr. Tillen Joseph Perry
Credential
APRN
Sex
Male
Sole proprietor
No
Enumeration date
Dec 10, 2019
Certification date
Jan 10, 2020
Last updated
Jan 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LG0600X Nurse Practitioner, GerontologyAPRNCNP026025OHYes

Practice location

231 Albert Sabin Way
Cincinnati, OH 45267-2827

Phone 513-558-4831 · Fax 513-558-4858

Mailing address

2830 Victory Pkwy
Cincinnati, OH 45206-1785

Phone 513-585-5505 · Fax 513-585-5511

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