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1316562549
FRANKIE TIDWELL
JOHNSON CITY, TN
NPI
1316562549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 27671)
Enumeration Date
2020-06-12
Last Update Date
2020-06-12
Business Address
FRANKIE TIDWELL FNP-C
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
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Mailing Address
FRANKIE TIDWELL FNP-C
226 DE LEE DR
KINGSPORT, TN 37663-2611
Phone number: 423-817-5512
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