Nicole Lynn Tidd
Nicole Lynn Tidd is a Nurse Practitioner in Orangeburg, South Carolina. Qualified in 2014, 12 years ago. Practices with MUSC Community Physicians, a 1,339-clinician group and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 12
- Licensed in
- SC
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
1137 Cook RdOrangeburg, SC 29118-8204
Phone: (803) 531-0970
Fax: (803) 395-2237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 18998 (SC) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 18998 (SC) |
Record details
| NPI number | 1700295284 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2014 |
| Last updated in NPPES | November 22, 2017 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Musc Community Physicians — 1339 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Orangeburg
-
Latosha Larkin Corley
3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 · (803) 395-2200
-
Mr. Robert Michael Rodriguez, RN
1773 Village Park Dr, Orangeburg, SC 29118-2475 · (803) 535-3600