person
Connie Jo Tidd
Family Nurse Practitioner in Logansport, Indiana
NPI 1629623392

Connie Jo Tidd is a Family Nurse Practitioner based in Indianapolis, IN and is specialized in Family. Connie Jo Tidd practices in Logansport, IN. The NPI Number for Connie Jo Tidd is 1629623392 and holds a License No. 71009219A (Indiana).

The current practice location address for Connie Jo Tidd is 1700 Dividend Dr, Logansport, IN and can be reached out via phone at 574-722-7407.

Location: 1700 Dividend Dr, Logansport, IN, 46250-1946
person
Provider Profile Details
NPI Number
1629623392
Provider Name
Connie Jo Tidd
Credential
Provider Entity Type
Individual
Gender
Female
Address
1700 Dividend Dr, Logansport, IN, 46250-1946
Phone Number
574-722-7407
Fax Number
Provider Enumeration Date
08/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1700 Dividend Dr
City
State
Zip
46947-1572
Phone Number
574-722-7407
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Dividend Dr
City
State
Zip
46947-1572
Phone Number
574-722-7407
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71009219A (Indiana)
Definition
Definition to come...
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