Connie Jo Tidd is a family nurse practitioner in Logansport, IN. Connie Jo Tidd NPI is 1629623392. 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:
1700 DIVIDEND DR
LOGANSPORT, IN
ZIP 46947-572
Phone: (574) 722-7407
The NPI 1629623392 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.
The enumeration date for this NPI number is 8/8/2019 and was last updated on 1/24/2023.