Healthcare Provider Details

I. General information

NPI: 1952214686
Provider Name (Legal Business Name): ALLEN LEE TILGHMAN PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 SHEFFIELD RD
CHERRY HILL NJ
08034-1626
US

IV. Provider business mailing address

400 SHEFFIELD RD
CHERRY HILL NJ
08034-1626
US

V. Phone/Fax

Practice location:
  • Phone: 856-604-0772
  • Fax:
Mailing address:
  • Phone: 856-604-0772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP037258
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: