DR. Jerithea Doronice Tidwell, RN PHD, PNP, PCNS is a pediatrics nurse practitioner in Dallas, TX. DR. Jerithea Doronice Tidwell, RN PHD, PNP, PCNS NPI is 1134387558. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235-701
Phone: (214) 456-2331
Fax: (214) 456-2897
The NPI 1134387558 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/2/2008 and was last updated on 9/3/2021.