Tillman, Kelli Marie Baker

Tillman, Kelli Marie Baker is an individual health care provider with primary practice located at 1411 Greenway Ct , Sanford NC 27330-6954. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tillman, Kelli Marie Baker can be contacted via phone (919) 292-1878.

Contact Information

Primary practice address
1411 Greenway Ct Sanford NC 27330-6954
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F06191243 North Carolina

Profile Details

NPI number 1578112959
LBN Legal business name Tillman, Kelli Marie Baker
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2019
Last updated Jan 8th, 2021 - about 5 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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