AMY TILLMON
NPI 1568829398
Licensed Practical Nurse in Port Byron, NY
- Individual
- Female
- Licensed Practical Nurse
About AMY TILLMON
This page provides the complete NPI Profile along with additional information for Amy Tillmon, a provider established in Port Byron, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1568829398 assigned on January 2016. The practitioner's primary taxonomy code is 164W00000X with license number 298083 (NY). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1568829398 Verify this NPI
- Provider Name
- AMY TILLMON
- Other Name
- AMY M JENNINGS
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 20 MCCLELLAN ST PORT BYRON, NY 13140
- Location Phone
- (315) 209-3771
- Mailing Address
- PO BOX 142 20 MCCLELLAN ST PORT BYRON, NY 13140
- Mailing Phone
- (315) 209-3771
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-25-2016
- Last Update Date
- 01-25-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 298083
- License State
- NY
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568829398, enumerated as an "individual" on January 25, 2016.
The provider is located at 20 MCCLELLAN ST PORT BYRON, NY 13140 and the phone number is (315) 209-3771.
Licensed Practical Nurse with taxonomy code 164W00000X.
