Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Chanel T. Tillery, DNP, APRN, FNP-C

Individual provider Registered Nurse · NPI 1083463657

Dr. Chanel T. Tillery, DNP, APRN, FNP-C is a Registered Nurse in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2024.

Licensed in
NJ
In the registry since
2024
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

150 Bergen St
Newark, NJ 07103-2496
Phone: (973) 972-5123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15148700 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 26NR20372200 (NJ)

Record details

NPI number1083463657
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , APRN , FNP-C
Sole proprietorNo
NPI enumeratedMay 16, 2024
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 1, 2024

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