Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BIANCA D TILLERY LPN
NPI 1336058890
Licensed Practical Nurse in Memphis, TN

Q: What is Bianca Tillery's NPI number?

The NPI number for Bianca Tillery is 1336058890. It was assigned to this individual provider in the NPPES registry on September 2, 2026.

Q: What is Bianca Tillery's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Bianca Tillery was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 02, 2026

6029 WALNUT GROVE RD STE 209, MEMPHIS, TN 38120(901) 681-0778(901) 821-9987 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Bianca D Tillery Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIANCA D TILLERY LPN (NPI 1336058890) is an individual licensed practical nurse in Memphis, Tennessee, licensed in Tennessee (104394) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1336058890

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameBIANCA D TILLERYCredential: LPN

Location Address6029 WALNUT GROVE RD STE 209Memphis, TN 38120-2112

Mailing Address6029 Walnut Grove Rd Ste 209Memphis, TN 38120-2112 · (901) 681-0778 · Fax (901) 821-9987

Phone(901) 681-0778

Fax(901) 821-9987

Sole ProprietorYes

Enumeration DateSeptember 2, 2026

NPPES CertifiedSeptember 2, 2026

✔ NPI 1336058890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in TN · 104394

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

6029 WALNUT GROVE RD STE 209, Memphis, TN 38120

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANOJ K JAIN MD, MPH

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