MRS. HEPHZIBAH EBONY TILLERY (NPI# 1528570520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528570520 |
| Entity Type | Individual |
| Full Name | MRS. HEPHZIBAH EBONY TILLERY |
| Credential | ARNP |
| Practice Address |
2121 W Pensacola St Ste B2 Tallahassee FL 32304-3151 |
| Mailing Address |
1447 Stone Rd Apt E38 Tallahassee FL 32303-3684 |
| Practice Telephone | 8505747455 |
| Mailing Telephone | 7188408427 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9357098 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2121 W PENSACOLA ST STE B2 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32304-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245850239 | Boxton Community Health | Clinic/Center | 2121 W Pensacola St Ste B2, Tallahassee, FL 32304-3151 | 2020-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214946 | Jamel V Chandler | Adult Companion | 2665 Mission Road., Tallahassee, FL 32304 | 2020-08-05 |
| 1578198248 | Thomson Ivins | Counselor | 175 Geddie Rd, Tallahassee, FL 32304 | 2020-03-03 |
| 1508210022 | Angela Nechele Hall | Physical Therapist | 1329 Abraham Street, Tallahassee, FL 32304 | 2016-04-21 |
| 1780064329 | Bennie Thompkins | Dentist | 535 Apple Yard Dr, Tallahassee, FL 32304 | 2015-06-08 |
| 1104241314 | Osita Abanah | Pharmacist | 1819 West Tennessee St, Tallahassee, FL 32304 | 2014-02-25 |
| 1437584265 | Kristan Aliesha Morgan | Nurse Practitioner | 501 Capital Circle Ne, Tallahassee, FL 32304 | 2013-09-11 |
| 1649550047 | Bond Community Health Center, Inc. | Internal Medicine | 1704 Joe Lewis Street, Tallahassee, FL 32304 | 2011-08-17 |
| 1639309842 | Bond Community Health Center | Internal Medicine | 2729-8 Municipal Way, Kay Freeman Health Center, Tallahassee, FL 32304 | 2009-07-22 |
| 1104016401 | Elder Care Services, Inc. | Homemaker | 2518 W Tennessee St, Tallahassee, FL 32304 | 2007-08-01 |
| 1760548234 | Patricia Janice Mitchell | Adult Companion | 4177 Pleasant Drive, Tallahassee, FL 32304 | 2006-12-29 |
| Find all providers in zip 32304 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486503 | Stephanie Patricia Chandler | Nurse Practitioner | 2221 Orange Ave E Apt 215, Tallahassee, FL 32311-6154 | 2020-10-30 |
| 1205435641 | Lillie Ruth Green | Nurse Practitioner | 1317 Blossom Cir, Tallahassee, FL 32305-6707 | 2020-10-17 |
| 1619594124 | Andriece Sampson | Nurse Practitioner | 1400 Village Square Blvd # 3-81600, Tallahassee, FL 32312-1250 | 2020-06-30 |
| 1598381519 | Marcelle Laurene Frehn | Nurse Practitioner | 2009 Miccosukee Rd Ste A, Tallahassee, FL 32308-5364 | 2020-06-25 |
| 1629693734 | Sara E Poslaiko | Nurse Practitioner | 4917 Vernon Rd, Tallahassee, FL 32317-7136 | 2020-06-15 |
| 1316562507 | Amanda Jean Simpson | Nurse Practitioner | 4405 Wesley Dr, Tallahassee, FL 32303-2447 | 2020-06-12 |
| 1255956934 | Kayla Anne Juszczyk | Nurse Practitioner | 2276 Wabash Trl, Tallahassee, FL 32303-8370 | 2020-06-09 |
| 1396367306 | Altheria Smith | Nurse Practitioner | 1537 Belmont Trce, Tallahassee, FL 32301-2814 | 2020-05-13 |
| 1922570837 | Jeremy Russell Fritzsche | Nurse Practitioner | 3554 Loma Farm Rd, Tallahassee, FL 32309-6324 | 2018-12-18 |
| 1902374002 | Ralph Michael Crowther | Nurse Practitioner | 1492 Applewood Way, Tallahassee, FL 32312-8085 | 2018-11-06 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32304 |
Please comment or provide details below to improve the information on MRS. HEPHZIBAH EBONY TILLERY.
| 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.