TRACY J TIDWELL

MEMPHIS, TN
NPI1619977964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  130639)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TN  130639)
Enumeration Date2005-07-28
Last Update Date2012-12-28
Business Address
Ms. TRACY J TIDWELL APRN,FNP
848 ADAMS AVE
MEMPHIS, TN 38103-2816
Phone number: 901-287-6112
Mailing Address
Ms. TRACY J TIDWELL APRN,FNP
8010 STAGE HILLS BLVD
BARTLETT, TN 38133-4032
Phone number: 901-291-2400