IndividualActive
Averi Tidwell
NPI 1194611152 · Community Health Registered Nurse · Lewisburg, TN
Provider details
- NPI number
- 1194611152
- Entity type
- Individual
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Sole proprietor
- No
- License
- 279086 (TN)
Specialties & taxonomies
Nursing Service Providers
Practice location
1031 War Eagle Dr
Lewisburg, TN 37091-9800
Phone: (931) 359-1551
Approximate (ZIP-level) locationGet directions
Mailing address
1031 War Eagle Dr
Lewisburg, TN 37091-9800
Registry dates
- Enumerated
- 2025-06-16
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.