Tidwell, Jessi Blackstock

Tidwell, Jessi Blackstock is an individual health care provider with primary practice located at 106 Michigan Blvd , Muscle Shoals AL 35661-2730. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tidwell, Jessi Blackstock can be contacted via phone (256) 394-0880.

Contact Information

Primary practice address
106 Michigan Blvd Muscle Shoals AL 35661-2730
Phone: (256) 394-0880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1-162142 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1-162142 Alabama

Profile Details

NPI number 1013556356
LBN Legal business name Tidwell, Jessi Blackstock
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2020
Last updated Aug 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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