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 provides Family Nurse Practitioner services 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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