Tidwell, Sherry Lynn

Tidwell, Sherry Lynn is an individual health care provider with primary practice located at 7723 Clearview Church Ln , Lyles TN 37098-1674. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tidwell, Sherry Lynn can be contacted via phone (931) 670-5520.

Contact Information

Primary practice address
7723 Clearview Church Ln Lyles TN 37098-1674
Phone: (931) 670-5520
Fax: (931) 670-5312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 92159 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16586 Tennessee

Profile Details

NPI number 1265707533
LBN Legal business name Tidwell, Sherry Lynn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2012
Last updated Mar 4th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265707533 NPPES
Tennessee MEDICAID 1529543

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