Individual
MRS. CHERYL HALL WIDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7265 HIGHWAY 64, OAKLAND, TN 38060-3403
(901) 465-0521
Mailing address
3065 MOUNT MORIAH DR, WHITEVILLE, TN 38075-7231
(901) 734-4278
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
20840
TN
282N00000X
General Acute Care Hospital
—
—
363L00000X
Nurse Practitioner
Primary
174519
AK
363LF0000X
Family Nurse Practitioner
Primary
20840
TN
Other
Enumeration date
11/18/2015
Last updated
05/14/2026
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