Individual
NICOLE MARIE TWEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 882-1760
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2017020563
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
2017020563
MO
Other
Enumeration date
06/19/2017
Last updated
12/17/2025
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