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

Jennifer Evans Tidroski, DO

Individual provider Pediatrics Physician · NPI 1639457245

Jennifer Evans Tidroski, DO is a Pediatrics Physician in Prescott, Arizona. Licensed in Arizona and Texas. Registered with an NPI since 2011.

Licensed in
AZ, TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2120 Centerpointe West Dr
Prescott, AZ 86301-8487
Phone: (928) 778-4581
Fax: (928) 776-1872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 007047 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence P0309 (TX)

Record details

NPI number1639457245
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 31, 2011
Last updated in NPPESFebruary 21, 2017

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