KELLI TIDWELL, FNP

Nurse Practitioner

Active Individual
NPI: 1104074822

Practice Address

1450 DOWELL SPRINGS BLVD
SUITE 300
Knoxville, TN 37909

Phone: (865) 637-8812

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes APN0000007947 (TN)

Frequently Asked Questions

NPI 1104074822 is the National Provider Identifier for KELLI TIDWELL, FNP, a Nurse Practitioner provider located in Knoxville, TN. This NPI was enumerated on September 6, 2008.
KELLI TIDWELL, FNP practices at 1450 DOWELL SPRINGS BLVD, SUITE 300, Knoxville, TN 37909.

Quick Facts

NPI
1104074822
Type
Individual
Enumerated
Sep 6, 2008
Last Updated
Jun 18, 2025

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