Search › North Carolina › 363L00000X
Jennifer Tidwell, NP-C
NPI 1558970939 · on the registry since 2020
Practice
- Address
- 140 Charlois Blvd
Winston Salem, NC 27103 - Phone
- (336) 716-4131
- Fax
- (336) 713-0328
- Clinicians at this address
- 32
Additional practice sites
- 1537 Owen Park Ln, Fayetteville, NC
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina