IndividualActive
Patrice Tillman, RN,MSN
NPI 1992852123 · Adult Psychiatric/Mental Health Registered Nurse · Lawrenceville, GA
Provider details
- NPI number
- 1992852123
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN,MSN
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN058224 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
175 Gwinnett Dr
Lawrenceville, GA 30045-8444
Phone: (770) 339-5000
Fax: (770) 822-1698
Approximate (ZIP-level) locationGet directions
Mailing address
175 Gwinnett Dr
Lawrenceville, GA 30045-8444
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.