Individual
JONATHAN TIBALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
20320 NORTHWEST FWY STE 400A, JERSEY VILLAGE, TX 77065-5620
(346) 345-2092
(281) 883-4395
Mailing address
PO BOX 39077, BELFAST, ME 04915-1232
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP131029
TX
363LF0000X
Family Nurse Practitioner
AP131029
TX
Other
Enumeration date
05/23/2016
Last updated
06/23/2025
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