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

MS. Jacqlene Nicholle Tillmes, RD, CDN, CNSC

Individual provider Registered Dietitian · NPI 1811384639

MS. Jacqlene Nicholle Tillmes, RD, CDN, CNSC is a Registered Dietitian in Syracuse, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

725 Irving Ave Ste 504
Syracuse, NY 13210-1603
Phone: (315) 464-8435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 007796 (NY)

Record details

NPI number1811384639
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CDN , CNSC
Sole proprietorNo
NPI enumeratedApril 20, 2015
Last updated in NPPESApril 20, 2015

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