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

Mrs. Jacqueline D Gist-Tillman, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1801154141

Mrs. Jacqueline D Gist-Tillman, REGISTEREDNURSE is a Registered Nurse in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

510 Clermont Ave Rm 211
Brooklyn, NY 11238
Phone: (718) 857-4646
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 476472 (NY)

Record details

NPI number1801154141
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorNo
NPI enumeratedApril 24, 2012
Last updated in NPPESApril 24, 2012

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