Individual
MRS. NORMA B TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NA
Contact information
Practice address
162 SHARP AND PERKINS RD, JACKSBORO, TN 37757-2507
(423) 562-8351
(423) 562-1593
Mailing address
PO BOX 418, 162 SHARP-PERKINS RD., JACKSBORO, TN 37757-0418
(423) 562-8351
(423) 562-1593
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
TN
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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