Individual provider · Type 1 NPI
Rebekah Jo Tidwell, APRN
Family Nurse Practitioner · London, KY
NPI number
1194476218
Active
Practice location
934 S Laurel Rd
London, KY 40744-6314
Mailing address
930 Adell Ree Park Ln
Knoxville, TN 37909-2543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4035393 (KY) |
| Family Nurse Practitioner Primary | 363LF0000X | 31028 (TN) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1194476218
Rebekah Jo Tidwell, APRN's National Provider Identifier is 1194476218, issued on Jan 11, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in London, KY. The record was last updated on May 15, 2025.