JUSTIN ROSS TILLMAN


Address: 1013 Walls Ln, Crystal Springs, MS 39059-9465
Phone: 6018328252

JUSTIN ROSS TILLMAN (NPI# 1215543756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215543756
Entity Type Individual
Full Name JUSTIN ROSS TILLMAN
Credential FNP STUDENT
Practice Address 1013 Walls Ln
Crystal Springs
MS 39059-9465
Practice Telephone 6018328252
Mailing Telephone 6018328252
Enumeration Date 2020-09-21
Last Update Date 2020-09-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1013 WALLS LN
City CRYSTAL SPRINGS
State MS
Zip Code 39059-9465

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003375411 Neuro Rehabcare-tass Rehabilitation Unit 512 Harmony Road, Crystal Springs, MS 39059 2019-03-15
1447510581 Baptist Jackson Heart Cardiology Clinic-crystal Springs Internal Medicine 123 Bobo Drive, Crystal Springs, MS 39059 2012-05-23
1134438757 William Robert Myers Pharmacist 25096 Highway 51, Fred's Pharmacy # 1489, Crystal Springs, MS 39059 2010-09-30
1679770507 Lucas Nathaniel Watson Social Worker 34132 Hwy 28 East, Crystal Springs, MS 39059 2007-07-03
1699818948 Jerry Babb Gulledge Family Medicine 408 East Railroad Avenue North, Crystal Springs, MS 39059 2007-02-15
1306903844 Onous J Wells Jr. Dentist 304 Harmony Road, Crystal Springs, MS 39059 2007-01-03
1073608881 Melanie B Austin Occupational Therapist 104 West Railroad Ave. North, Crystal Springs, MS 39059 2006-10-04
1972603819 Copiah Medical Associates, LLP Family Medicine 123 Bobo Dirve, Crystal Springs, MS 39059 2006-09-22
1467554378 Albert J. Singletary, Inc Dentist 707 West Georgetown St., Crystal Springs, MS 39059 2006-09-01
1225004948 Cds Home Care, Inc Durable Medical Equipment & Medical Supplies 119 Bobo Dr, Crystal Springs, MS 39059 2006-02-23
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265049928 Jillian Christina Smith Student in an Organized Health Care Education/Training Program 91570 Highway 42, Richton, MS 39476-9708 2020-09-28
1487261087 William Andrew Harrelson Student in an Organized Health Care Education/Training Program 215 Union Line Rd, Laurel, MS 39443-0772 2020-09-28
1114534922 Brianna Danielle Morris Student in an Organized Health Care Education/Training Program 415 Gatewood Dr, Pearl, MS 39208-4409 2020-09-25
1942817838 Ebony Symone' Woodson Student in an Organized Health Care Education/Training Program 288 Mount Helm Rd, Brandon, MS 39047-8462 2020-09-25
1093322885 Danna Shaye Jackson Student in an Organized Health Care Education/Training Program 115 Howard Heights Rd, Poplarville, MS 39470-7454 2020-09-25
1972110963 Akira Keyana Baker Student in an Organized Health Care Education/Training Program 415 N Ione St, Tupelo, MS 38801-3116 2020-09-24
1043827900 Carla Odom Student in an Organized Health Care Education/Training Program 963 Taylor Rd, Kokomo, MS 39643-4967 2020-09-24
1902413974 Katharine Bogard Student in an Organized Health Care Education/Training Program 2032 Tuilleries Cv, Biloxi, MS 39531-2423 2020-09-24
1023624137 Daysi Lisett Zanzon Student in an Organized Health Care Education/Training Program 210 S Lowe St, Hazlehurst, MS 39083-3017 2020-09-23
1922614171 Kathleen Michele Tate Student in an Organized Health Care Education/Training Program 2412 Meadow Oak, Flowood, MS 39232-8780 2020-09-22
Find all providers with the same taxonomy

Competitor

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City CRYSTAL SPRINGS
Zip Code 39059

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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