| Connie Jo Tidd, | |
|
1700 Dividend Dr, Logansport, IN 46947-1572 | |
| (574) 722-7407 | |
| Not Available |
| Full Name | Connie Jo Tidd |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1700 Dividend Dr, Logansport, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629623392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71009219A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Connie Jo Tidd, 8003 Castleway Dr, Indianapolis, IN 46250-1946 Ph: (317) 576-1335 | Connie Jo Tidd, 1700 Dividend Dr, Logansport, IN 46947-1572 Ph: (574) 722-7407 |
Ms. Lois Jane Taylor, CANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 E Market St, Logansport, IN 46947 Phone: 574-722-9366 Fax: 574-722-5987 | |
Ms. Jo Estes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-722-7407 Fax: 844-397-1308 | |
Chad E Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-735-3414 | |
Michelle Leigh Myers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3727 E Market St, Logansport, IN 46947 Phone: 574-727-2114 | |
Thomas Calvin Kerr, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 South State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-737-3907 | |
Alison G Kaneshiro, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Michigan Ave, Logansport, IN 46947 Phone: 574-753-7541 | |
Tracy L. Thomas, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-722-7407 Fax: 574-735-0429 |