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Ms. Jennifer Barefoot Tidwell, NP-C
Nurse Practitioner in Winston Salem, North Carolina
NPI 1558970939

Jennifer Barefoot Tidwell is a Nurse Practitioner based in Winston Salem, NC. Jennifer Barefoot Tidwell practices in Winston Salem, NC and has the professional credentials of NP-C. The NPI Number for Jennifer Barefoot Tidwell is 1558970939 and holds a License No. F07202295 (North Carolina).

The current practice location address for Jennifer Barefoot Tidwell is 140 Charlois Blvd, Winston Salem, NC and can be reached out via phone at 336-716-4131 and via fax at 336-713-0328.

Location: 140 Charlois Blvd, Winston Salem, NC, 27103-6074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558970939
Provider Name
Jennifer Barefoot Tidwell
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
140 Charlois Blvd, Winston Salem, NC, 27103-6074
Phone Number
336-716-4131
Fax Number
336-713-0328
Provider Enumeration Date
07/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
140 Charlois Blvd
City
Winston Salem
State
North Carolina
Zip
27103-1522
Phone Number
336-716-4131
Fax Number
336-713-0328
person
Provider Business Mailing Address Details
Address
140 Charlois Blvd
City
Winston Salem
State
North Carolina
Zip
27103-1522
Phone Number
336-716-4131
Fax Number
336-713-0328
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5013567 (North Carolina)
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
Family
Taxonomy
363LF0000X
License No.
F07202295 (North Carolina)
Definition
Definition to come...
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