Miss Kenosha Latrice Tillman
NURSE PRACTITIONER | Nurse Practitioner - Psych/Mental Health
5220 Rosewood Pl, Fairburn
Georgia, 30213-5113
901-277-7086
Miss Kenosha Latrice Tillman is a Fairburn, Georgia based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Miss Kenosha Latrice Tillman is GAA-NP000960 for Psych/Mental Health in Georgia. Her current practice location is 5220 Rosewood Pl, Fairburn. Patients can reach her at 901-277-7086. Miss Kenosha Latrice Tillman is NURSE PRACTITIONER with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1275886103.
Miss Kenosha Latrice Tillman provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Miss Kenosha Latrice Tillman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Miss Kenosha Latrice Tillman |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | NURSE PRACTITIONER |
| Practice Address: | 5220 Rosewood Pl, Fairburn,
Georgia, 30213-5113 |
| Phone: | 901-277-7086 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1275886103 |
| NPI Enumeration Date: | 16 Oct, 2012 |
| NPI Last Update On: | 07 Nov, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Kenosha Latrice Tillman are as mentioned below.
| License Number | Specialization | State | Status | |
| GAA-NP000960 | Psych/Mental Health | Georgia | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Miss Kenosha Latrice Tillman
5220 Rosewood Pl,
Fairburn, Georgia |
| Zip: | 30213-5113 |
Patients can reach Miss Kenosha Latrice Tillman at
5220 Rosewood Pl, Fairburn, Georgia or can
call to book an appointment on 901-277-7086.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.