1558929190 NPI number — MRS. KATLYN B TILLETT MSN, APRN, PMHNP-BC

Table of content: MRS. KATLYN B TILLETT MSN, APRN, PMHNP-BC (NPI 1558929190)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558929190 NPI number — MRS. KATLYN B TILLETT MSN, APRN, PMHNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TILLETT
Provider First Name:
KATLYN
Provider Middle Name:
B
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSN, APRN, PMHNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558929190
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3897 BRIDGE ROAD
Provider Second Line Business Mailing Address:
BUILDING B, SUITE 100
Provider Business Mailing Address City Name:
SUFFOLK
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23435
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-389-8801
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3897 BRIDGE RD STE 100
Provider Second Line Business Practice Location Address:
BUILDING B
Provider Business Practice Location Address City Name:
SUFFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23435-1911
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-672-2521
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/29/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  0024177657 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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