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

Tammie L. Tillman, FNP

Individual provider Primary Care Nurse Practitioner · NPI 1528445624

Tammie L. Tillman, FNP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2013, 13 years ago. Practices with Fast Pace Mississippi PLLC, a 189-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
13
Licensed in
MS
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3502 W Nortside Dr
Jackson, MS 39213
Phone: (601) 362-5321
Fax: (601) 364-5159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence R877379 (MS)

Record details

NPI number1528445624
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 28, 2015
Last updated in NPPESOctober 3, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Fast Pace Mississippi Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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