Jerithea Tidwell, RN PHD, PNP, PCNS

Individual Active
NPI 1134387558
Pediatric Nurse Practitioner Dallas, TX

Jerithea Tidwell, RN PHD, PNP, PCNS holds NPI 1134387558, with a primary taxonomy of pediatric nurse practitioner and a practice location in Dallas, TX. The number was issued on June 2, 2008 and the NPPES record was last updated on July 10, 2026. The record lists 5 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X AP117669 (TX)
Pediatric Nurse Practitioner 363LP0200X APN0000011923 (TN)
Pediatric Clinical Nurse Specialist 364SP0200X 659941 (TX)
Pediatric Clinical Nurse Specialist 364SP0200X APN0000011923 (TN)
Clinical Nurse Specialist 364S00000X AP117669 (TX)

Practice locations

1935 Medical District Dr
Dallas, TX 75235-7701
Phone: (214) 456-2331
455 N Garland Ave
Garland, TX 75040-5646
Phone: (469) 488-4200

Local context

Active NPPES records list 588 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 357 of them within 10 miles.

The same primary taxonomy is listed by 2,290 in Texas and 23,953 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Jerithea Doronice Tidwell
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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