IndividualActive
Brandy Tidwell, LPN
NPI 1154672467 · Licensed Practical Nurse · Prescott, AR
Provider details
- NPI number
- 1154672467
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- L40788 (AR)
Practice location
1658 US Highway 371
Prescott, AR 71857-7064
Phone: (870) 887-3660
Fax: (870) 887-3705
Mailing address
2904 Arkansas Blvd
Texarkana, AR 71854-2536
Registry dates
- Enumerated
- 2012-09-26
- Last updated
- 2012-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.