Individual
DR. JERITHEA DORONICE TIDWELL
Active
Individual
DR. JERITHEA DORONICE TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN PHD, PNP, PCNS
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP117669
TX
363LP0200X
Pediatric Nurse Practitioner
APN0000011923
TN
364S00000X
Clinical Nurse Specialist
AP117669
TX
364SP0200X
Pediatric Clinical Nurse Specialist
659941
TX
364SP0200X
Pediatric Clinical Nurse Specialist
APN0000011923
TN
Other
Enumeration date
06/02/2008
Last updated
07/10/2026
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