Individual provider · Type 1 NPI

Jerica Tidwell

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1700526621 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Call (215) 316-5151 Map

Mailing address

1001 N 2nd St # E349
Philadelphia, PA 19123-1612

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700526621

Jerica Tidwell's National Provider Identifier is 1700526621, issued on Mar 30, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 30, 2022.