Individual provider · Type 1 NPI
Kelli D. Tidwell, FNP
Nurse Practitioner · Knoxville, TN
Practice location
1450 Dowell Springs Blvd, Suite 300
Knoxville, TN 37909
Fax (865) 637-8865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APN0000007947 (TN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1104074822
Kelli D. Tidwell, FNP's National Provider Identifier is 1104074822, issued on Sep 6, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Knoxville, TN. The record was last updated on Jun 18, 2025.