Tiller, Shakeva

Tiller, Shakeva is an sole proprietor health care provider with primary practice located at 709 Breedlove Dr , Monroe GA 30655-2055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Tiller, Shakeva can be contacted via phone (404) 729-2634.

Contact Information

Primary practice address
709 Breedlove Dr Monroe GA 30655-2055
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN287171 Georgia

Profile Details

NPI number 1255117271
LBN Legal business name Tiller, Shakeva
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2023
Last updated Sep 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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