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Tidwell Family Ventures Llc
Family Nurse Practitioner in Portland, Tennessee
NPI 1518106020

Tidwell Family Ventures Llc is a Family Nurse Practitioner based in Portland, TN and is specialized in Family. Tidwell Family Ventures Llc practices in Portland, TN. The NPI Number for Tidwell Family Ventures Llc is 1518106020 and holds a License No. 1755 (Tennessee).

The current practice location address for Tidwell Family Ventures Llc is 505 S Broadway, Portland, TN and can be reached out via phone at 615-323-1020 and via fax at 615-323-1021.

Location: 505 S Broadway, Portland, TN, 37148-1438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518106020
Provider Name
Tidwell Family Ventures Llc
Credential
Provider Entity Type
Organization
Address
505 S Broadway, Portland, TN, 37148-1438
Phone Number
615-323-1020
Fax Number
615-323-1021
Provider Enumeration Date
02/08/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
505 S Broadway
City
Portland
State
Tennessee
Zip
37148-1438
Phone Number
615-323-1020
Fax Number
615-323-1021
person
Provider Business Mailing Address Details
Address
505 S Broadway
City
Portland
State
Tennessee
Zip
37148-1438
Phone Number
615-323-1020
Fax Number
615-323-1021
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
13982 (Tennessee)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
10971 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1755 (Tennessee)
Definition
Definition to come...
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