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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANA TIDMORE, FNP-C

Active

DANA TIDMORE, FNP-C is a Family Nurse Practitioner healthcare provider located in SOUTHAVEN, Mississippi. NPI 1467341636 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SOUTHAVEN, MS

Registration Details

NPI Number
1467341636
Provider Type
Individual
Gender
Female
NPI Issued
Jul 1, 2025 (1.105059067622 yrs)
Last Updated
Jul 1, 2025
License
907549 (MS)

Practice Information

Address
3964 GOODMAN RD E STE 128
SOUTHAVEN, MS, 386726494
Browse MS providers · Browse ZIP 38672
Phone
6226550456
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in SOUTHAVEN, MS

Name Credential NPI
JOSEPH ANTHONY VISCONTI FNP 1699773820
MARY BRETT MILLER NP 1093774267
MS. STEPHANIE J DURDEN ARNP 1154370740
PAULA R MILLER APRN 1972532224
REBECCA HOLLY T ROBERTSON FNP 1033221106
REGINA G SEATON FNP 1487757365
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.