Tidwell, Jessi Blackstock

Tidwell, Jessi Blackstock is an individual health care provider with primary practice located at 2904 Mall Rd , Florence AL 35630-1641. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tidwell, Jessi Blackstock can be contacted via phone (256) 768-5350.

Contact Information

Primary practice address
2904 Mall Rd Florence AL 35630-1641
Phone: (256) 768-5350
Fax: (949) 695-4340
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-162142 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1-162142 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 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 May 1st, 2025 - about last year

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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