| Dana Tidmore, FNP-C | |
|
3964 Goodman Rd E Ste 128, Southaven, MS 38672-6494 | |
| (622) 655-0456 | |
| Not Available |
| Full Name | Dana Tidmore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3964 Goodman Rd E Ste 128, Southaven, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467341636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 907549 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Tidmore, FNP-C 3624 Flat Rock Dr, Hernando, MS 38632-4445 Ph: () - | Dana Tidmore, FNP-C 3964 Goodman Rd E Ste 128, Southaven, MS 38672-6494 Ph: (622) 655-0456 |
Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7111 Southcrest Pkwy Ste 109, Southaven, MS 38671 Phone: 662-503-7416 Fax: 662-349-9082 | |
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112 | |
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457 | |
Christopher Gully, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458 | |
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620 | |
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659 | |
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620 |