Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Practice Clinic, PC

Organization Family Nurse Practitioner · NPI 1023380474

Family Practice Clinic, PC is a Family Nurse Practitioner in Dyersburg, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1445 Parr Ave
Dyersburg, TN 38024-3153
Phone: (731) 286-6156
Fax: (731) 286-6797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6331 (TN)

Record details

NPI number1023380474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shari Tidwell — Owner/Provider · (731) 286-6156
NPI enumeratedFebruary 1, 2012
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address1445 Parr Ave, Dyersburg, TN 38024-3153

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