MISS Kenosha Latrice Tillman, NURSE PRACTITIONER
NPI #1275886103 in Fairburn, Georgia
Provider Information
- NPI Number
- 1275886103
- Entity Type
- Individual
- Name
- MISS Kenosha Latrice Tillman, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Oct 16, 2012
- Last Updated
- Nov 7, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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