T'JUANIEQUA WIDEMAN, AGACNP-BC
Nurse Practitioner
Active
Individual
NPI: 1053195982
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Gerontology | 363LG0600X | No | 1115976 (TX) |
| Nurse Practitioner | 363L00000X | Yes | 1115976 (TX) |
Frequently Asked Questions
NPI 1053195982 is the National Provider Identifier for T'JUANIEQUA WIDEMAN, AGACNP-BC, a Nurse Practitioner provider located in Tyler, TX. This NPI was enumerated on August 22, 2023.
T'JUANIEQUA WIDEMAN, AGACNP-BC practices at 800 E DAWSON ST, Tyler, TX 75701.
Quick Facts
- NPI
- 1053195982
- Type
- Individual
- Enumerated
- Aug 22, 2023
- Last Updated
- Sep 22, 2023
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