AMY M TILLMAN, NURSE PRACTITIONER, Family HOLLIS, OK

Contact Information

AMY M TILLMAN, NURSE PRACTITIONER

920 N 8TH
HOLLIS, OK 73550

Phone: 580-688-2200
Fax: 580-688-2229
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for AMY M TILLMAN · (Female)

NPI Number	`1689121147`
Status	Active
Credentials	NURSE PRACTITIONER
Entity	Individual
Enumeration date	09/01/2016
Last updated	04/20/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	OK License # 120820
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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