Lisa Ann Tillman, NP-C
Nurse Practitioner in Macon, GA. Individual provider (NPI-1).
NPI number1215615083
StatusActive
Last updated in NPPESSep 26, 2024
Details
- NPI
- 1215615083
- Entity type
- Individual (NPI-1)
- Name
- Lisa Ann Tillman
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2023
- Certification date
- Sep 26, 2024
- Last updated
- Sep 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN140460 | GA | Yes |
Practice location
3400 Riverside DrMacon, GA 31210-2513
Phone 478-474-5600
Mailing address
3400 Riverside DrMacon, GA 31210-2513
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All 148 Nurse Practitioner providers in Macon · All 5,121 providers in Macon
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