Kelli D. Tidwell FNP
Nurse Practitioner in Knoxville, TN(View on Map)
Full Name
Kelli D Tidwell FNP
NPI Number
1104074822
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/06/2008
Specialties
(Taxonomies)Licenses
State
Tennessee
License Number
APN0000007947
Contact
Information
Purpose
Mailing
Location
Address
1450 DOWELL SPRINGS BLVD
1450 DOWELL SPRINGS BLVD
City
Knoxville
Knoxville
State
TN
TN
Postal Code
37909
37909
Country
US
US
Telephone Number
(865) 637-8812
(865) 637-8812
Identifiers
Identifier
Q005786
Identifier State
TN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/17/2021