Jerelyn H Tiller
Nurse Practitioner - Adult Health Nurse Practitioner - Women's Health
2800 Allison Bonnett Memorial Dr
Hueytown
, Alabama 35023-1845
Jerelyn H Tiller
Nurse Practitioner - Adult Health Nurse Practitioner - Women's Health
2800 Allison Bonnett Memorial Dr
Hueytown
, Alabama 35023-1845
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Jerelyn H Tiller
- 1130 22nd St S Ridge Park Place, Suite 1000
- Birmingham, AL
- Zip : 35205-2870
- Phone :
Second Address
- Jerelyn H Tiller
- 2800 Allison Bonnett Memorial Dr
- Hueytown, AL
- Zip : 35023-1845
- Fax : (205) 744-6150
- Phone : (205) 744-4410
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What type of doctor is Jerelyn H Tiller
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Is Jerelyn H Tiller a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 1139395 | AL |
| N | 363LW0102X | Nurse Practitioner - Women's Health | 1139395 | AL |
National Provider Identifier
| NPI | 1033652581 |
|---|---|
| Provider Name | Jerelyn H Tiller |
| First Address | Birmingham, AL 35205-2870 |
| Second Address | Hueytown, AL 35023-1845 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2016 |
| Last Update Date | 30/11/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.