Kelli D Tidwell, FNP

NPI #1104074822 in Knoxville, Tennessee

Provider Information

NPI Number
1104074822
Entity Type
Individual
Name
Kelli D Tidwell, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
FNP
Enumeration Date
Sep 6, 2008
Last Updated
Jun 18, 2025

Practice Location

Address
1450 DOWELL SPRINGS BLVD
Address 2
SUITE 300
ZIP Code
37909
Phone
(865) 637-8812

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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