Individual provider · Type 1 NPI

Blair Ashley Dyer Tidwell

Community Health Registered Nurse · Clarksville, TN

NPI number 1417737347 Active

Practice location

330 Pageant Ln
Clarksville, TN 37040-3854

Mailing address

172 Timber Dr
Dover, TN 37058-3624

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500XRN0000274217 (TN)

Community Health Registered Nurse: Definition to come...

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About NPI 1417737347

Blair Ashley Dyer Tidwell's National Provider Identifier is 1417737347, issued on Sep 28, 2023. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Clarksville, TN. The record was last updated on Sep 28, 2023.