Miss. Kenosha Latrice Tillman, NURSEPRACTITIONER
Miss. Kenosha Latrice Tillman, NURSEPRACTITIONER is a Nurse Practitioner in Fairburn, Georgia. Qualified in 2022, 4 years ago. Practices with Piedmont Hospitalist Physicians LLC, a 497-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.
- Years since qualifying
- 4
- Licensed in
- GA
- In the registry since
- 2012
Practice location Address checks out
5220 Rosewood PlFairburn, GA 30213-5113
Phone: (901) 277-7086
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 1255 Highway 54 W, Fayetteville, GA 30214-4526 — (478) 464-8134
- 101 Webb Avenue, Bruce, MS 38915-0701 — (662) 414-9212
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence GAA-NP000960 (GA) |
|---|
Record details
| NPI number | 1275886103 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | October 16, 2012 |
| Last updated in NPPES | November 7, 2024 |
| Certification date | November 7, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Piedmont Hospitalist Physicians Llc — 497 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Fairburn
-
Lucia Adebesin
1154 Sly Fox Run, Fairburn, GA 30213-4910 · (404) 707-7799
-
Miss. Shaquanda Shantivus Gordon, PMHNP-BC
825 Belmar Pass, Fairburn, GA 30213-4482 · (229) 603-2601
-
Keesha Tamara Maria Hamilton-Fowler, NP
7446 Jennadee Dr # GA, Fairburn, GA 30213-6538 · (407) 773-4193