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1194476218
REBEKAH JO TIDWELL
KNOXVILLE, TN
NPI
1194476218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 31028)
Enumeration Date
2022-01-11
Last Update Date
2022-01-11
Business Address
REBEKAH JO TIDWELL FNP
930 ADELL REE PARK LN
KNOXVILLE, TN 37909-2543
Phone number: 865-769-2600
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Mailing Address
REBEKAH JO TIDWELL FNP
930 ADELL REE PARK LN
KNOXVILLE, TN 37909-2543
Phone number:
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