Individual provider · Type 1 NPI

Nicole Marie Tweedy, PNP

Pediatric Nurse Practitioner · Columbia, MO

NPI number 1730619073 Active

Practice location

1100 Virginia Ave
Columbia, MO 65212-0001

Call (573) 882-2663 Map

Fax (573) 882-1760

Mailing address

PO Box 843966
Kansas City, MO 64184-3966

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	2017020563 (MO)
Pediatric Nurse Practitioner Primary	363LP0200X	2017020563 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1730619073

Nicole Marie Tweedy, PNP's National Provider Identifier is 1730619073, issued on Jun 19, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Columbia, MO. The record was last updated on Dec 17, 2025.