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Individual

MISS NICOLE TIDWELL TURNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, APN

Contact information

Practice address
1525 COUNTRY CLUB ROAD, SHERWOOD, AR 72120-5076
(501) 758-1530
(501) 819-6171
Mailing address
1525 COUNTRY CLUB ROAD, SHERWOOD, AR 72120-5076
(501) 758-1530
(501) 819-6171

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RTP005629
AR
363LF0000X
Family Nurse Practitioner
Primary
A003746
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193791758
AR
Enumeration date
06/11/2009
Last updated
07/10/2023
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