Tidwell, Elesha P

Tidwell, Elesha P is an sole proprietor health care provider with primary practice located at 1793 Cliff Gookin Blvd , Tupelo MS 38801-6723. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tidwell, Elesha P can be contacted via phone (662) 842-1161.

Contact Information

Primary practice address
1793 Cliff Gookin Blvd Tupelo MS 38801-6723
Phone: (662) 842-1161
Fax: (662) 842-6375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R866110 Mississippi

Profile Details

NPI number 1558661892
LBN Legal business name Tidwell, Elesha P
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2010
Last updated Oct 8th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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