Jackie Tillis
Jackie Tillis is a Case Manager/Care Coordinator in Hammond, Louisiana. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1814 N Morrison BlvdHammond, LA 70401-1551
Phone: (985) 419-2430
Fax: (985) 419-2431
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1720673924 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 9, 2021 |
| Last updated in NPPES | March 9, 2021 |
| Certification date | March 9, 2021 |
| Mailing address | 1814 N Morrison Blvd, Hammond, LA 70401-1551 |
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