Individual provider · Type 1 NPI

Joling Julie Tidwell, NP

Pediatric Nurse Practitioner · Indianapolis, IN

NPI number 1053811364 Active

Practice location

705 Riley Hospital Dr
Indianapolis, IN 46202-5109

Fax (317) 274-4491

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X71007798 (IN)
Pediatric Nurse Practitioner Primary 363LP0200X71007798A (IN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1053811364

Joling Julie Tidwell, NP's National Provider Identifier is 1053811364, issued on Feb 14, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 29, 2020.