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STEPHANIE JO TILLETT
NPI 1952109902
Licensed Practical Nurse in Saint Cloud, MN

Active since March 05, 2025
4801 VETERANS DR, SAINT CLOUD, MN 56303(320) 255-6390 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephanie Jo Tillett NPPES

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

STEPHANIE JO TILLETT (NPI 1952109902) is an individual licensed practical nurse in Saint Cloud, Minnesota, licensed in Minnesota (679965) and active in the NPI registry since March 2025. The provider maintains a secondary practice location in Saint Cloud.

NPPES Registry Identity

NPI1952109902
Entity TypeIndividual
Primary Taxonomy164W00000X
Provider Legal NameSTEPHANIE JO TILLETT
Location Address4801 VETERANS DRSaint Cloud, MN 56303-2015
Mailing Address17396 Riverwood DrLittle Falls, MN 56345-6449
Phone(320) 255-6390
Sole ProprietorYes
Enumeration DateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1952109902 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 MN · 679965
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.

4801 VETERANS DR, Saint Cloud, MN 56303
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Secondary Practice Location 1

Location 14801 Veterans DrSaint Cloud, MN 56303-2015 · Phone (320) 255-6390

Other Providers at the Same Location NPPES 20

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

MICHELLE P PITTMAN-LEYENDECKER CNP
Nurse Practitioner (Women's Health)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670
MS. AMY JEAN PARKER PHARM.D.
Pharmacist (Pharmacotherapy)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 255-6465
MARK ALLEN RUDEL PA
Physician Assistant
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 255-6480
MARY ELIZABETH KOSIBA
Clinical Nurse Specialist (Psychiatric/Mental Health)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670
JAMES RONALD LUKACH M.D.
Internal Medicine
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 255-6317
CLAIRE JANELLE GARCIA MSSW
Social Worker (Clinical)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 255-6480
MRS. HEATHER J MERRITT RD
Dietitian, Registered
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 255-6376
MRS. GINA RACHEL OLEEN RD, LD
Dietitian, Registered
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670

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 Stephanie Tillett's NPI number?

The NPI number for Stephanie Tillett is 1952109902. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Where is Stephanie Tillett located?

Stephanie Tillett practices at 4801 Veterans Dr, Saint Cloud, MN 56303. The listed phone number is (320) 255-6390.

What is Stephanie Tillett'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 Stephanie Tillett was last updated on March 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.