REBEKAH JO TIDWELL FNP NPI 1194476218

NPI Information

NPI: 1194476218
Provider Name: REBEKAH JO TIDWELL, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
930 ADELL REE PARK LN
KNOXVILLE, TN
ZIP 37909
Phone: (865) 769-2600
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Rebekah Jo Tidwell, FNP is a family nurse practitioner in Knoxville, TN. Rebekah Jo Tidwell, FNP NPI is 1194476218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

930 ADELL REE PARK LN
KNOXVILLE, TN
ZIP 37909-543
Phone: (865) 769-2600

The enumeration date for this NPI number is 1/11/2022 and was last updated on 1/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	31028	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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