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T'juaniequa Wideman, AGACNP-BC
Nurse Practitioner in Tyler, Texas
NPI 1053195982

T'juaniequa Wideman is a Nurse Practitioner based in Tyler, TX. T'juaniequa Wideman practices in Tyler, TX and has the professional credentials of AGACNP-BC. The NPI Number for T'juaniequa Wideman is 1053195982 and holds a License No. 1115976 (Texas).

The current practice location address for T'juaniequa Wideman is 800 E Dawson St, Tyler, TX and can be reached out via phone at 903-593-8441. You can also correspond with T'juaniequa Wideman through the mailing address at 1309 S AZALEA DR, TYLER, TX - 75701-5222 (mailing address contact number: 903-520-4873).

Location: 800 E Dawson St, Tyler, TX, 75701-5222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053195982
Provider Name
T'juaniequa Wideman
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Female
Address
800 E Dawson St, Tyler, TX, 75701-5222
Phone Number
903-593-8441
Fax Number
Provider Enumeration Date
08/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701-2036
Phone Number
903-593-8441
Fax Number
person
Provider Business Mailing Address Details
Address
1309 S Azalea Dr
City
Tyler
State
Texas
Zip
75701-5222
Phone Number
903-520-4873
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1115976 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
1115976 (Texas)
Definition
Definition to come...
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