MRS. JESSICA TIDWELL (NPI# 1649655531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649655531 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA TIDWELL |
| Practice Address |
209 S Royal Oaks Blvd #222 Franklin TN 37064-1310 |
| Mailing Address |
209s Royal Oaks Blvd 222 Franklin TN 37064-1311 |
| Practice Telephone | 6157940800 |
| Mailing Telephone | 6157940800 |
| Mailing Fax Number | 6157940986 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000019981 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376009431 | Jessica Leeann Tidwell | Behavior Technician | 4910 E Ashlan Ave Ste 118, Fresno, CA 93726-3021 | 2019-02-13 |
| 1629454160 | Jessica King Tidwell | Nurse Practitioner | 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 | 2015-08-06 |
| 1023399946 | Jessica Tidwell | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2011-09-06 |
| Street Address |
209 S ROYAL OAKS BLVD #222 |
| City | FRANKLIN |
| State | TN |
| Zip Code | 37064-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114054905 | Gil Paul Kentof | Chiropractor | 209 S Royal Oaks Blvd, Suite 222, Franklin, TN 37064-1310 | 2007-02-27 |
| 1083936363 | Brenda Louise Tate | Pharmacist | 209 S Royal Oaks Blvd, Suite 104, Franklin, TN 37064-1310 | 2010-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852654 | Tanya Watson | Pharmacist | 1451 New Hwy 96 W, Franklin, TN 37064 | 2020-08-18 |
| 1629639547 | Anthony Porter Owens | Counselor | 382 Natchez St, Franklin, TN 37064 | 2019-06-21 |
| 1124589130 | Erica Lee Gentry | Social Worker | 125 Brevet Dr, Franklin, TN 37064 | 2019-03-31 |
| 1497225064 | Corbett Hinkle | Counselor | 1224 B Columbia Ave Suite 100, Franklin, TN 37064 | 2018-11-27 |
| 1477048148 | Robert Gurich | Counselor | 1325 W Main St Ste B, Franklin, TN 37064 | 2018-06-26 |
| 1649765553 | Tucker's House | Contractor | 201 Beasley Drive Unit G, Franklin, TN 37064 | 2018-06-25 |
| 1245775386 | Kathryn Mccaffrey Crabtree | Pharmacist | 5021 Hughes Crossings Boulevard, Franklin, TN 37064 | 2016-12-28 |
| 1437510146 | Jeffrey Bryce Farr | Dentist | Noba 509 New Hwy 96, Suite 100, Franklin, TN 37064 | 2016-03-09 |
| 1215307137 | Amanda Nicole Stacey | Occupational Therapist | 870 Oak Meadow Dr, Franklin, TN 37064 | 2015-10-05 |
| 1982083796 | Olivia Ellis | Social Worker | 1113 Murfreesboro Rd #202, Nashville, TN 37064 | 2015-05-26 |
| Find all providers in zip 37064 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787672 | Jeremy Ambrose Paluch | Nurse Practitioner | 120 Holiday Ct Ste 2, Franklin, TN 37067-1302 | 2020-10-13 |
| 1902422033 | Amanda Elaine Smith | Nurse Practitioner | 116 Tracy Miles Rd, Franklin, IN 46131-5547 | 2020-06-24 |
| 1326684788 | Jessica Bledsoe | Nurse Practitioner | 3326 Aspen Grove Dr Ste 260, Franklin, TN 37067-2866 | 2019-11-20 |
| 1407405483 | Ashley Faren Maleport | Nurse Practitioner | 501 Corporate Centre Dr Ste 400, Franklin, TN 37067-2659 | 2019-09-11 |
| 1720548415 | Shoua Dorothy Hang | Nurse Practitioner | 9379 S 35th St, Franklin, WI 53132-9151 | 2019-03-20 |
| 1528527868 | Anna Bliss Eberle | Nurse Practitioner | 221 Augusta National Ct, Franklin, TN 37069-7019 | 2019-03-16 |
| 1558834226 | Teresa Gail Triantafilu | Nurse Practitioner | 125 Cool Springs Blvd Ste 100, Franklin, TN 37067-6475 | 2019-01-06 |
| 1285132837 | Leslie Michelle Beagle | Nurse Practitioner | 325 Minute Man, Franklin, IN 46131-6600 | 2018-01-29 |
| 1629583984 | Robin Renee Holbrook | Nurse Practitioner | 714 Wayside Ct, Franklin, TN 37069-8105 | 2017-12-08 |
| 1992255764 | Ashley Deangelis Gussoni | Nurse Practitioner | 125 Cool Springs Blvd Ste 240, Franklin, TN 37067-6475 | 2016-10-05 |
| Find all providers in FRANKLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.