person
Ms. Amber Nickolina Tidwell, NP
Psychiatric/Mental Health Nurse Practitioner in Carrollton, Georgia
NPI 1073862751

Amber Nickolina Tidwell is a Psychiatric/Mental Health Nurse Practitioner based in Charlotte, GA and is specialized in Psychiatric/Mental Health. Amber Nickolina Tidwell practices in Carrollton, GA and has the professional credentials of NP. The NPI Number for Amber Nickolina Tidwell is 1073862751 and holds a License No. RN125386 (Georgia).

The current practice location address for Amber Nickolina Tidwell is 153 Independence Dr, Carrollton, GA and can be reached out via phone at 770-836-6678.

Location: 153 Independence Dr, Carrollton, GA, 28211-6166
person
Provider Profile Details
NPI Number
1073862751
Provider Name
Amber Nickolina Tidwell
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
153 Independence Dr, Carrollton, GA, 28211-6166
Phone Number
770-836-6678
Fax Number
Provider Enumeration Date
09/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
153 Independence Dr
City
State
Zip
30116-9000
Phone Number
770-836-6678
Fax Number
person
Provider Business Mailing Address Details
Address
153 Independence Dr
City
State
Zip
30116-9000
Phone Number
770-836-6678
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AC004642 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN125386 (Georgia)
Definition
Definition to come...
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