Individual
MRS. JESSICA TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 S ROYAL OAKS BLVD, #222, FRANKLIN, TN 37064-1310
(615) 794-0800
Mailing address
PO BOX 681508, FRANKLIN, TN 37068-1508
(615) 661-7888
(615) 661-9001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000019981
TN
Other
Enumeration date
07/21/2015
Last updated
01/25/2022
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