| Tara Leann Tillman, FNP | |
|
103 W Frontage Rd, Lucedale, MS 39452-5836 | |
| (601) 947-9596 | |
| Not Available |
| Full Name | Tara Leann Tillman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 103 W Frontage Rd, Lucedale, Mississippi |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245129030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 907184 (Mississippi) | Primary |
| Entity Name | Lucedale Urgent Care, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700372034 PECOS PAC ID: 0648528661 Enrollment ID: O20180824001503 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Leann Tillman, FNP 3249 Jake Hill Rd, Lucedale, MS 39452-2093 Ph: Not Available | Tara Leann Tillman, FNP 103 W Frontage Rd, Lucedale, MS 39452-5836 Ph: (601) 947-9596 |
Lacey Elizabeth Carter, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Summer St Ste D, Lucedale, MS 39452 Phone: 601-530-5317 |
Mrs. Natalia Angelia Stevenson-harris, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 226 Lowe Ln, Lucedale, MS 39452 Phone: 228-203-8224 |
Ms. Deborah A Hyatt, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 92 Ratliff St, Lucedale, MS 39452 Phone: 601-947-8181 Fax: 601-947-4411 |
Donna Louise Woods, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 553 Cowart St Ste 1, Lucedale, MS 39452 Phone: 601-530-5317 Fax: 601-429-9105 |
Jasmini Neena Bowen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext Ste D, Lucedale, MS 39452 Phone: 601-791-5004 |
Norman M Parnell, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 223 Winter St Ste D, Lucedale, MS 39452 Phone: 601-791-5012 Fax: 601-791-5013 |
Ms. Rebecca Graves, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 92 W Ratliff St, Lucedale, MS 39452 Phone: 601-947-8181 Fax: 601-947-4411 |