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

MS. Gerica Michelle Tillman, REGISTEREDNURSE

Individual provider Licensed Practical Nurse · NPI 1730753435

MS. Gerica Michelle Tillman, REGISTEREDNURSE is a Licensed Practical Nurse in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

151 Freestate Blvd
Shreveport, LA 71107-6535
Phone: (318) 226-5990
Fax: (318) 675-0543
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 206282 (LA)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 20180753 (LA)

Record details

NPI number1730753435
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedMay 17, 2021
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022

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