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1477091122
MELANI SIDWELL
JACKSON, TN
NPI
1477091122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 121210)
Enumeration Date
2017-02-02
Last Update Date
2017-02-02
Business Address
-- MELANI SIDWELL NP
131 TUCKER STREET STE 2
JACKSON, TN 38301
Phone number: 731-668-1853
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Mailing Address
-- MELANI SIDWELL NP
PO BOX 3572
JACKSON, TN 38303-3572
Phone number: 731-668-1853
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