AMY TILLMON
NPI 1568829398
Licensed Practical Nurse in Port Byron, NY

Active since January 25, 2016
20 MCCLELLAN ST, PORT BYRON, NY 13140(315) 209-3771 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Amy Tillmon NPPES

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

AMY TILLMON (NPI 1568829398) is an individual licensed practical nurse in Port Byron, New York, licensed in New York (298083) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1568829398
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameAMY TILLMON
Location Address20 MCCLELLAN STPort Byron, NY 13140-7706
Mailing AddressPo Box 142, 20 Mcclellan StPort Byron, NY 13140 · (315) 209-3771
Sole ProprietorNo
Enumeration DateJanuary 25, 2016
NPI 1568829398 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 NY · 298083
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.
20 MCCLELLAN ST, Port Byron, NY 13140

Other Names 1

Former Name (1)Amy M Jennings

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Tillmon's NPI number?

The NPI number for Amy Tillmon is 1568829398. It was assigned to this individual provider in the NPPES registry on January 25, 2016. The provider is also known as Amy M Jennings.

Where is Amy Tillmon located?

Amy Tillmon practices at 20 Mcclellan St, Port Byron, NY 13140. The listed phone number is (315) 209-3771.

What is Amy Tillmon's specialty?

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

When was this NPI record last updated?

The NPPES record for Amy Tillmon was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.