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SHAUNDRIA TILLMAN LPN
NPI 1740755842
Licensed Practical Nurse in Jacksonville, FL

Active since October 04, 2018
5749 TAMPICO RD, JACKSONVILLE, FL 32244(904) 537-9701 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shaundria Tillman Lpn NPPES

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

SHAUNDRIA TILLMAN LPN (NPI 1740755842) is an individual licensed practical nurse in Jacksonville, Florida, licensed in Florida (PN5228192) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1740755842
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHAUNDRIA TILLMANCredential: LPN
Location Address5749 TAMPICO RDJacksonville, FL 32244-1736
Mailing Address5749 Tampico RdJacksonville, FL 32244-1736 · (904) 537-9701
Phone(904) 537-9701
Sole ProprietorYes
Enumeration DateOctober 4, 2018
✔ NPI 1740755842 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 FL · PN5228192
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.
5749 TAMPICO RD, Jacksonville, FL 32244
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Other Identifiers 1

OtherPN5228192FL · License Practical Nurse

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 Shaundria Tillman's NPI number?

The NPI number for Shaundria Tillman is 1740755842. It was assigned to this individual provider in the NPPES registry on October 4, 2018.

Where is Shaundria Tillman located?

Shaundria Tillman practices at 5749 Tampico Rd, Jacksonville, FL 32244. The listed phone number is (904) 537-9701.

What is Shaundria Tillman'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 Shaundria Tillman was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.