Tillmes, Jacqlene Nicholle

Tillmes, Jacqlene Nicholle is an individual health care provider with primary practice located at 725 Irving Ave Suite 504, Syracuse NY 13210-1603. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Tillmes, Jacqlene Nicholle can be contacted via phone (315) 464-8435.

Contact Information

Primary practice address
725 Irving Ave Suite 504 Syracuse NY 13210-1603
Phone: (315) 464-8435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 007796 New York

Profile Details

NPI number 1811384639
LBN Legal business name Tillmes, Jacqlene Nicholle
Credentials RD, CDN, CNSC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2015
Last updated Apr 20th, 2015 - about 11 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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