Kara Desiree Tidwell, FNP-C is a
Nurse Practitioner - Family based in Taylor, Mississippi. Kara Desiree Tidwell is licensed to practice in Mississippi (license number 908575) and her current practice location is
317 Fox Hollow Cv, Taylor, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 816-2026.
NPI number for Kara Desiree Tidwell is 1447178066 and her current mailing address is 317 Fox Hollow Cv, Taylor, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447178066.
Provider's Profile
| Full Name | Kara Desiree Tidwell |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
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| Location | 317 Fox Hollow Cv, Taylor, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447178066
- Provider Enumeration Date: 07/09/2026
- Last Update Date: 07/09/2026
Medical Identifiers
Medical identifiers for Kara Desiree Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447178066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 908575 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kara Desiree Tidwell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kara Desiree Tidwell, FNP-C 317 Fox Hollow Cv, Taylor, MS 38673-9504 Ph: () - | Kara Desiree Tidwell, FNP-C 317 Fox Hollow Cv, Taylor, MS 38673-9504 Ph: (662) 816-2026 |
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