Individual
DR. JERITHEA DORONICE TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN PHD, PNP, PCNS
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-2331
(214) 456-2897
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-2331
(214) 456-2897
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
09/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us