Jessica King Tidwell is a Tyler, Texas based nurse practitioner who is specialized as Acute Care nurse. Active license number of Jessica King Tidwell is AP130723 for Acute Care in Texas. Her current practice location is 703 S Fleishel Ave, Ste 5000, Tyler. Patients can reach her at 903-606-2830. Jessica King Tidwell is AGACNP-BC with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1629454160. Jessica King Tidwell is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Jessica King Tidwell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Jessica King Tidwell
Specialization:
Acute Care Nurse Practitioner (ACNP)
Gender:
Female
Credentials:
AGACNP-BC
Practice Address:
703 S Fleishel Ave, Ste 5000, Tyler, Texas, 75701-2015
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1629454160
NPI Enumeration Date:
06 Aug, 2015
NPI Last Update On:
22 Oct, 2018
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jessica King Tidwell are as mentioned below.
License Number
Specialization
State
Status
AP130723
Acute Care
Texas
Primary
AP08445
Acute Care
Louisiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jessica King Tidwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
75-2616977-123
Other
Texas
TRICARE
752616977180
Other
Texas
TRICARE
352279902
Medicaid
Texas
P01784015
Other
Texas
RAIL ROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.