Miss Kenosha Latrice Tillman

NURSE PRACTITIONER | Nurse Practitioner - Psych/Mental Health

5220 Rosewood Pl, Fairburn
  Georgia, 30213-5113
901-277-7086
May or may not accept Medicare Nurse Anesthetist in Fairburn, Georgia.
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 NumberSpecializationStateStatus
GAA-NP000960Psych/Mental Health GeorgiaPrimary
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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.