Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jennifer Jordan Tillis, PHARMD

Individual provider Pharmacist · NPI 1023387966

Dr. Jennifer Jordan Tillis, PHARMD is a Pharmacist in Orange Park, Florida. Licensed in Florida, Kentucky and Washington. Registered with an NPI since 2011.

Licensed in
FL, KY, WA
In the registry since
2011
Specialties on file
3
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

609 Kingsley Ave
Orange Park, FL 32073-5443
Phone: (904) 213-8083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS34550 (FL)
Pharmacist Taxonomy 183500000X · Licence 011932 (KY)
Pharmacist Taxonomy 183500000X · Licence PH53302 (WA)

Record details

NPI number1023387966
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedDecember 21, 2011
Last updated in NPPESDecember 23, 2011

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