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Dr. Jerithea Doronice Tidwell, RNPHD,PNP,PCNS
Pediatric Nurse Practitioner in Dallas, Texas
NPI 1134387558

Jerithea Doronice Tidwell is a Pediatric Nurse Practitioner based in Dallas, TX and is specialized in Pediatrics. Jerithea Doronice Tidwell practices in Dallas, TX and has the professional credentials of RNPHD,PNP,PCNS. The NPI Number for Jerithea Doronice Tidwell is 1134387558 and holds a License No. APN0000011923 (Texas).

The current practice location address for Jerithea Doronice Tidwell is 1935 Medical District Dr, Dallas, TX and can be reached out via phone at 214-456-2331 and via fax at 214-456-2897.

Location: 1935 Medical District Dr, Dallas, TX, 75235-7701
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Provider Profile Details
NPI Number
1134387558
Provider Name
Jerithea Doronice Tidwell
Credential
RNPHD,PNP,PCNS
Provider Entity Type
Individual
Gender
Female
Address
1935 Medical District Dr, Dallas, TX, 75235-7701
Phone Number
214-456-2331
Fax Number
214-456-2897
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1935 Medical District Dr
City
State
Zip
75235-7701
Phone Number
214-456-2331
Fax Number
214-456-2897
person
Provider Business Mailing Address Details
Address
1935 Medical District Dr
City
State
Zip
75235-7701
Phone Number
214-456-2331
Fax Number
214-456-2897
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
659941 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
-
Taxonomy
License No.
AP117669 (Texas)
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Pediatrics
Taxonomy
License No.
APN0000011923 (Tennessee)
Definition
Definition to come...
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