AMY DEMPSEY TIDWELL


Address: 551 Azalea Dr, Suite 102, Oxford, MS 38655-7900
Phone: 6622340332

AMY DEMPSEY TIDWELL (NPI# 1275827958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275827958
Entity Type Individual
Full Name AMY DEMPSEY TIDWELL
Credential ACNP
Practice Address 551 Azalea Dr
Suite 102
Oxford
MS 38655-7900
Mailing Address 551 Azalea Drive
Oxford
MS 38655-3606
Practice Telephone 6622340332
Practice Fax Number 6622349546
Mailing Fax Number 6622342891
Enumeration Date 2011-05-31
Last Update Date 2013-10-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
R857193 MS Physician Assistants & Advanced Practice Nursing Providers

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1437761764 Amy Tidwell Pharmacist 1751 Tiny Town Rd, Clarksville, TN 37042-7632 2020-08-18
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Office Location

Street Address 551 AZALEA DR
SUITE 102
City OXFORD
State MS
Zip Code 38655-7900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801902309 Milton D Hobbs Internal Medicine 551 Azalea Dr, Oxford, MS 38655-7900 2006-08-21
1972012847 Natalie Nelson Nurse Practitioner 551 Azalea Dr, Oxford, MS 38655-7900 2017-09-23
1477088409 Ima At Home LLC Internal Medicine 551 Azalea Dr, Oxford, MS 38655-7900 2017-04-27
1881002996 Ima Medical Home Team LLC Internal Medicine 551 Azalea Dr, Oxford, MS 38655-7900 2014-08-01
1043462195 Internal Medicine Associates Dietitian, Registered 551 Azalea Dr, Oxford, MS 38655-7900 2008-10-21
1609036698 Stephanie G Mullins Nurse Practitioner 551 Azalea Dr, Oxford, MS 38655-7900 2008-06-12
1386843407 Margaret B Embry Nurse Practitioner 551 Azalea Dr, Oxford, MS 38655-7900 2007-07-18
1609923069 Internal Medicine Associates of Oxford Internal Medicine 551 Azalea Dr, Oxford, MS 38655-7900 2007-01-05
1568519957 Oxford Cardiovascular Physicians, Pa Internal Medicine 551 Azalea Dr, Oxford, MS 38655-7900 2007-01-05
1902953300 Lampton Medical PC Internal Medicine 551 Azalea Dr, Oxford, MS 38655-7900 2007-01-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619585809 Oxford Treatment Center, LLC Substance Abuse Rehabilitation Facility 616 Commerce Parkway, Oxford, MS 38655 2020-07-14
1760044465 Lindsay Low Beauchamp Speech-Language Pathologist 169 Ms-6 #102, Oxford, MS 38655 2019-07-02
1861058075 Tomiko D Mackey Social Worker 100 Carriage Cove, Oxford, MS 38655 2019-05-13
1174090039 Derionne Brooks Specialist/Technologist 972 Hathorn Road, University, MS 38655 2018-10-30
1497236327 Providence Companion Care Nurse's Aide 317 Heritage Dr Ste 3b, Oxford, MS 38655 2018-08-28
1255817292 Marcela Caroline Weber Counselor 152 Mississippi 7 South, Oxford, MS 38655 2018-07-12
1649775123 Oxford Outpatient Center, LLC Clinic/Center 611 Commerce Pkwy, Oxford, MS 38655 2018-03-27
1073039962 Sharon Yvette Holloway Social Worker 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 2017-08-22
1447774682 Courtney M Purvis Physical Therapist 300 Enterprise Dr Ste B, Oxford, MS 38655 2017-07-31
1649716580 Taylor Lynn Smith Counselor 152 Ms-7, Oxford, MS 38655 2017-01-17
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962001693 Joseph Prendergast Nurse Practitioner 5 Jasmine Rd, Oxford, MA 01540-3304 2020-10-23
1306372032 Larissa S Sultan Nurse Practitioner 115 Willow Lake Dr, Oxford, MI 48371-6376 2017-05-01
1891188660 Lee Ferguson Nurse Practitioner 2892 South Lamar Blvd, Oxford, MS 38655 2015-03-18
1376198192 Leigh Van Devender Nurse Practitioner 504 Azalea Dr Ste A, Oxford, MS 38655-5397 2019-08-08
1609036698 Stephanie G Mullins Nurse Practitioner 551 Azalea Dr, Oxford, MS 38655-7900 2008-06-12
1851408744 Sharon C Upton Nurse Practitioner 551 Azalea Dr, Oxford, MS 38655-7900 2006-08-24
1073505418 Jene' White Smith Nurse Practitioner 1397 Belk Blvd, Oxford, MS 38655-5301 2005-08-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306450358 Sara Leanne Davis Nurse Practitioner 230 Possum Ridge Rd, Hollandale, MS 38748-3755 2020-09-06
1598385130 Christy Busby Nurse Practitioner 128 Warren St, Pontotoc, MS 38863-1519 2020-04-23
1104459742 Amanda Paige Michael Nurse Practitioner 200 Quail Run, Booneville, MS 38829-9001 2020-02-21
1891328340 U Matter LLC Nurse Practitioner 2440 N Hills St Ste 126, Meridian, MS 39305-2634 2020-02-12
1255978367 Tanya Haley Mcgee Nurse Practitioner 229 Old Yorkville Rd S, Columbus, MS 39702-8440 2019-12-08
1447893888 Spectrum The Other Clinic Nurse Practitioner 2910 Magnolia Pl, Hattiesburg, MS 39402-2428 2019-10-17
1053962068 Lauren Lanier Guthrie Nurse Practitioner 102 Friars Cv, Clinton, MS 39056-3411 2019-09-23
1588212229 David Buckheister Nurse Practitioner 612 Liz Cir, Gulfport, MS 39503-3712 2019-08-27
1821583196 Amanda Houston Trent Nurse Practitioner 4381 S Eason Blvd Ste 203, Tupelo, MS 38801-6557 2018-06-28
1093224446 Jennifer Hurley Nurse Practitioner 2809n Denny Ave, Pascagoula, MS 39581-5301 2017-09-28
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Competitor

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City OXFORD
Zip Code 38655

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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