Individual provider · Type 1 NPI

Johnathan Tidwell, CRNP

Acute Care Nurse Practitioner · Birmingham, AL

NPI number 1063870608 Active

Practice location

619 19th St S, P915
Birmingham, AL 35233-1900

Call (205) 975-0512 Map

Mailing address

PO Box 55310
Birmingham, AL 35255-5310

Other practice locations

  • 619 19th St S, Birmingham, AL 35233-1900 · (205) 975-0511
  • 619 19th St S, Birmingham, AL 35233-1900 · (205) 975-0511

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X1-124189 (AL)

Acute Care Nurse Practitioner: Definition to come...

454 other providers at this address

Other acute care nurse practitioner providers in Birmingham

See all in Birmingham →

About NPI 1063870608

Johnathan Tidwell, CRNP's National Provider Identifier is 1063870608, issued on Feb 9, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Birmingham, AL. The record was last updated on Feb 1, 2024.