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

Quankela Tillman

Individual provider Gerontology Nurse Practitioner · NPI 1578193520

Quankela Tillman is a Gerontology Nurse Practitioner in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

10005 N Dale Mabry Hwy Ste 115
Tampa, FL 33618-4409
Phone: (813) 284-8900
Fax: (813) 867-4600
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 11003758 (FL)

Record details

NPI number1578193520
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 17, 2020
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

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