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

Katherine Kelle Tillman, APRNACNS-BC

Individual provider Administrator Registered Nurse · NPI 1720648140

Katherine Kelle Tillman, APRNACNS-BC is an Administrator Registered Nurse in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2019.

Licensed in
TX
In the registry since
2019

Practice location Address checks out

1919 8th Ave
Fort Worth, TX 76110-1358
Phone: (817) 332-7722
Fax: (817) 582-4977
Show map & directions

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

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X · Licence AP129952 (TX)

Record details

NPI number1720648140
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNACNS-BC
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

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