Jacalyn R Tidwell
Jacalyn R Tidwell is a Peer Specialist in Tulsa, Oklahoma. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
5310 E 31st St Ste 600Tulsa, OK 74135-5018
Phone: (918) 587-9471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1093316457 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 3, 2020 |
| Last updated in NPPES | December 10, 2021 |
| Certification date | December 10, 2021 |
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