FAMILY PRACTICE CLINIC, PC is a family nurse practitioner in Dyersburg, TN. FAMILY PRACTICE CLINIC, PC NPI is 1023380474. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1445 PARR AVE DYERSBURG, TN ZIP 38024-153 Phone: (731) 286-6156 Fax: (731) 286-6797
The provider's authorized official is Shari P Tidwell . The authorized official title is Owner/provider and has the following contact phone number (731) 286-6156.
The CLIA number assigned to this NPI record is 44D0962574 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/1/2012 and was last updated on 11/20/2025.
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:
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: 11/21/2025
NPI Synchronization or Removal
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