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Jasmine Tidwell
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1922742873

Jasmine Tidwell is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Jasmine Tidwell practices in Farmington, CT. The NPI Number for Jasmine Tidwell is 1922742873 and holds a License No. (Connecticut).

The current practice location address for Jasmine Tidwell is 263 Farmington Ave, Farmington, CT and can be reached out via phone at 860-679-4477 and via fax at 860-679-1025.

Location: 263 Farmington Ave, Farmington, CT, 06030-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922742873
Provider Name
Jasmine Tidwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
263 Farmington Ave, Farmington, CT, 06030-1921
Phone Number
860-679-4477
Fax Number
860-679-1025
Provider Enumeration Date
04/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06032-1956
Phone Number
860-679-4477
Fax Number
860-679-1025
person
Provider Business Mailing Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06032-1956
Phone Number
860-679-4477
Fax Number
860-679-1025
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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