Tidwell, Jerithea Doronice

Tidwell, Jerithea Doronice is an individual health care provider with primary practice located at 1935 Medical District Dr , Dallas TX 75235-7701. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Tidwell, Jerithea Doronice can be contacted via phone (214) 456-2331.

Contact Information

Primary practice address
1935 Medical District Dr Dallas TX 75235-7701
Phone: (214) 456-2331
Fax: (214) 456-2897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN0000011923 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X AP117669 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 659941 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X APN0000011923 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP117669 Texas

Profile Details

NPI number 1134387558
LBN Legal business name Tidwell, Jerithea Doronice
Credentials RN PHD, PNP, PCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated Sep 3rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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