Jessica King Tidwell, AGACNP-BC is an acute care nurse practitioner in Tyler, TX. Jessica King Tidwell, AGACNP-BC NPI is 1629454160. 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:
703 S FLEISHEL AVE
STE 5000
TYLER, TX
ZIP 75701-015
Phone: (903) 606-2830
The NPI 1629454160 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 8/6/2015 and was last updated on 10/22/2018.