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

Kanisha Tillery

Individual provider Licensed Practical Nurse · NPI 1962176222

Kanisha Tillery is a Licensed Practical Nurse in Poughkeepsie, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

126 Thompson St
Poughkeepsie, NY 12601-2621
Phone: (845) 264-9697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 333554 (NY)

Record details

NPI number1962176222
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2021
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021
Mailing address126 Thompson St, Poughkeepsie, NY 12601-2621

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