National Provider Identifier
Katherine Elizabeth Tidwell, FNP
Katherine Elizabeth Tidwell, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Jamestown, NY and a listed phone number of (727) 519-3447.
Profile Overview
- NPI
- 1972230563
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- August 03, 2022
- Last Updated
- August 03, 2022
Practice Location
- 15 S Main St Ste 150
- Jamestown, NY 14701-6627
Phone: (727) 519-3447
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1972230563
- Entity Type
- Individual
- Last Name
- Tidwell
- First Name
- Katherine
- Middle Name
- Elizabeth
- Credential
- FNP
- Mailing Street Address
- 15 S Main St Ste 150
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6627
- Mailing Country
- US
- Mailing Phone
- (727) 519-3447
- Practice Street Address
- 15 S Main St Ste 150
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6627
- Practice Country
- US
- Practice Phone
- (727) 519-3447
- Enumeration Date
- August 03, 2022
- Last Updated
- August 03, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 03, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)