Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerithea Doronice Tidwell, RN, PHD, PNP, PCNS

Individual provider Pediatric Nurse Practitioner · NPI 1134387558

Dr. Jerithea Doronice Tidwell, RN, PHD, PNP, PCNS is a Pediatric Nurse Practitioner in Dallas, Texas. Works from 2 locations. Licensed in Tennessee and Texas.

Licensed in
TN, TX
In the registry since
2008
Specialties on file
5
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

1935 Medical District Dr
Dallas, TX 75235-7701
Phone: (214) 456-2331
Fax: (214) 456-2897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 N Garland Ave, Garland, TX 75040-5646 — (469) 488-4200

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence AP117669 (TX)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence APN0000011923 (TN)
Pediatric Clinical Nurse Specialist Taxonomy 364SP0200X · Licence 659941 (TX)
Pediatric Clinical Nurse Specialist Taxonomy 364SP0200X · Licence APN0000011923 (TN)
Clinical Nurse Specialist Taxonomy 364S00000X · Licence AP117669 (TX)

Record details

NPI number1134387558
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , PHD , PNP , PCNS
Sole proprietorNo
NPI enumeratedJune 2, 2008
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

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