Elesha P Tidwell, FNP
NPI #1558661892 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1558661892
- Entity Type
- Individual
- Name
- Elesha P Tidwell, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP
- Enumeration Date
- Nov 2, 2010
- Last Updated
- Oct 8, 2018
Practice Location
- Address
- 1793 CLIFF GOOKIN BLVD
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-6723
- Phone
- (662) 842-1161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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