Jo Ann Tilley is a Pediatrics in Fort Worth, Texas. Jo Ann Tilley practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jo Ann Tilley is 1780779348. The last update date is 2021-05-11.
Jo Ann Tilley's current location address is 1500 Cooper St, Fort Worth, Texas. You can contact this provider via phone number 6828852500 and fax number 6828852510. The mailing address for Jo Ann Tilley is 1500 Cooper St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jo Ann Tilley |
|---|---|
| Address | 1500 Cooper St, Fort Worth, Texas |
| Phone Number | 6828852500 |
| Fax Number | 6828852510 |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1780779348 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2021-05-11 |
Provider Mailing Address Detail
| Address | 1500 Cooper St |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761042710 |
| Phone Number | 6828852500 |
| Fax Number | 6828852510 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 642782 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Post Comment/ Review Below
What is the unique identifier code issued to Jo Ann Tilley by the Centers for Medicare & Medicaid Services?
The Jo Ann Tilley has been assigned the NPI (National Provider Identifier) 1780779348. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jo Ann Tilley?
The Jo Ann Tilley is situated at 1500 Cooper St, in the city of Fort Worth, state of TX, with the zip code 761042710.
What is Jo Ann Tilley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jo Ann Tilley's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.
On what date did the Jo Ann Tilley receive its 1780779348 assignment from the Centers for Medicare & Medicaid Services?
The Jo Ann Tilley was assigned its 1780779348 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date was the information pertaining to Jo Ann Tilley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jo Ann Tilley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-05-11.