Individual
MICHELE TIDWELL COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
151 MEDICAL PARK DR, JEFFERSON, NC 28640-9560
(336) 246-7161
(336) 835-4761
Mailing address
2903 BROADSTONE RD, BANNER ELK, NC 28604-9046
(828) 493-1675
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5019172
NC
363LF0000X
Family Nurse Practitioner
5019172
NC
Other
Enumeration date
08/31/2007
Last updated
09/02/2025
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