REBEKAH JO TIDWELL

LONDON, KY
NPI1194476218
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  31028)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: KY  4035393)
Enumeration Date2022-01-11
Last Update Date2025-05-15
Business Address
REBEKAH JO TIDWELL APRN
934 S LAUREL RD
LONDON, KY 40744-6314
Phone number: 606-657-2030
Mailing Address
REBEKAH JO TIDWELL APRN
930 ADELL REE PARK LN
KNOXVILLE, TN 37909-2543
Phone number: