Individual provider · Type 1 NPI

Shandell Louise Kidd, NP

Family Nurse Practitioner · Germantown, TN

NPI number 1598547341 Active

Practice location

7945 Wolf River Blvd
Germantown, TN 38138-1762

Fax (901) 685-2969

Mailing address

7714 Poplar Ave Ste 200
Germantown, TN 38138-3941

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X905159 (MS)
Family Nurse Practitioner Primary 363LF0000X30937 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1598547341

Shandell Louise Kidd, NP's National Provider Identifier is 1598547341, issued on Oct 17, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Germantown, TN. The record was last updated on Oct 17, 2023.