DR. CRYSTAL LYNNE TILLMAN DNP, CPNP, PMHNP-BC
NPI 1609112333
Nurse Practitioner - Psychiatric/Mental Health in Raleigh, NC

Active since December 28, 2012
1055 DRESSER CT, RALEIGH, NC 27609(919) 876-3130 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Crystal Lynne Tillman Dnp, Cpnp, Pmhnp-bc NPPES

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

DR. CRYSTAL LYNNE TILLMAN DNP, CPNP, PMHNP-BC (NPI 1609112333) is an individual psychiatric/mental health provider in Raleigh, North Carolina, licensed in North Carolina (300186) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1609112333
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. CRYSTAL LYNNE TILLMANCredential: DNP, CPNP, PMHNP-BC
Location Address1055 DRESSER CTRaleigh, NC 27609-7323
Mailing Address830 Bryan StRaleigh, NC 27605-1104 · (704) 906-1428
Sole ProprietorYes
Enumeration DateDecember 28, 2012
Last NPPES UpdateOctober 28, 2015
NPI 1609112333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NC · 300186
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 300186 (NC)
1055 DRESSER CT, Raleigh, NC 27609

Other Identifiers 1

Other300186NC · Nursing And Medical Board Prescribing Number

Other Providers at the Same Location NPPES 14

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

Social Worker (Clinical)
1055 DRESSER CT
RALEIGH, NC 27609
Psychiatry & Neurology (Psychiatry)
1055 DRESSER CT
RALEIGH, NC 27609
Physician Assistant
1055 DRESSER CT
RALEIGH, NC 27609
Marriage & Family Therapist
1055 DRESSER CT
RALEIGH, NC 27609
Physician Assistant
1055 DRESSER CT
RALEIGH, NC 27609
Social Worker (Clinical)
1055 DRESSER CT
RALEIGH, NC 27609
Psychologist (Clinical)
1055 DRESSER CT
RALEIGH, NC 27609
Social Worker (Clinical)
1055 DRESSER CT
RALEIGH, NC 27609

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 Crystal Tillman's NPI number?

The NPI number for Crystal Tillman is 1609112333. It was assigned to this individual provider in the NPPES registry on December 28, 2012.

Where is Crystal Tillman located?

Crystal Tillman practices at 1055 Dresser Ct, Raleigh, NC 27609. The listed phone number is (919) 876-3130.

What is Crystal Tillman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Crystal Tillman was last updated on October 28, 2015. 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.