BARRY SIDWELL

JACKSON, TN
NPI1396332375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  28237)
Enumeration Date2020-12-24
Last Update Date2020-12-24
Business Address
BARRY SIDWELL FNP
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-343-2486
Mailing Address
BARRY SIDWELL FNP
559 LAKEWOOD DR E
JACKSON, TN 38305-6217
Phone number: 731-343-2486