Individual
KARA DESIREE TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
317 FOX HOLLOW CV, TAYLOR, MS 38673-9504
(662) 816-2026
Mailing address
317 FOX HOLLOW CV, TAYLOR, MS 38673-9504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
908575
MS
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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