Individual
DANA TIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3964 GOODMAN RD E STE 128, SOUTHAVEN, MS 38672-6494
(622) 655-0456
Mailing address
3624 FLAT ROCK DR, HERNANDO, MS 38632-4445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907549
MS
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us