ELESHA P TIDWELL

TUPELO, MS
NPI1558661892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R866110)
Enumeration Date2010-11-02
Last Update Date2018-10-08
Business Address
ELESHA P TIDWELL fnp
1793 CLIFF GOOKIN BLVD
TUPELO, MS 38801-6723
Phone number: 662-842-1161
Mailing Address
ELESHA P TIDWELL fnp
1793 CLIFF GOOKIN BLVD
TUPELO, MS 38801-6723
Phone number: 662-842-1161
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