JENNA TIDWELL NPI 1285187435

NPI Information

  • NPI: 1285187435
  • Provider Name: JENNA TIDWELL
  • Classification: Genetic Counselor, MS - 170300000X
  • Entity Type: Individual
  • Address: 3505 BROADWAY
    OAKLAND, CA
    ZIP 94611
  • Phone: (510) 752-6298

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NPI Details

Jenna Tidwell is a genetic counselor ms in Oakland, CA. The provider is a masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. Jenna Tidwell NPI is 1285187435. 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:

3505 BROADWAY
OAKLAND, CA
ZIP 94611-714
Phone: (510) 752-6298

The enumeration date for this NPI number is 7/24/2016 and was last updated on 1/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1170300000XGenetic Counselor, MSGC000665CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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