Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Janice Johnson Tillman, FNP-BC

Individual provider Registered Nurse · NPI 1497380711

Janice Johnson Tillman, FNP-BC is a Registered Nurse in Jackson, Mississippi. Works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

5429 Robinson Road Ext
Jackson, MS 39204-4138
Phone: (601) 914-0163
Fax: (601) 914-0170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2050 Russell J Tillman Rd, Edwards, MS 39066-9101 — (601) 988-3728

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 904041 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 884780 (MS)

Record details

NPI number1497380711
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMarch 6, 2020
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021

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