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

Elesha P Tidwell, FNP

Individual provider Nurse Practitioner · NPI 1558661892

Elesha P Tidwell, FNP is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2010, 16 years ago. Practices with MS State Department of Health, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
16
Licensed in
MS
In the registry since
2010
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

532 S Church St
Tupelo, MS 38804-4708
Phone: (662) 841-9015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R866110 (MS)

Record details

NPI number1558661892
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedNovember 2, 2010
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ms State Department Of Health — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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