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

Jessi Blackstock Tidwell, CRNP

Individual provider Family Nurse Practitioner · NPI 1013556356

Jessi Blackstock Tidwell, CRNP is a Nurse Practitioner in Florence, Alabama. Qualified in 2020, 6 years ago. Practices with Evolve Behavioral Health LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama.

Years since qualifying
6
Licensed in
AL
In the registry since
2020
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

2904 Mall Rd
Florence, AL 35630-1641
Phone: (256) 768-5350
Fax: (949) 695-4340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1-162142 (AL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1-162142 (AL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 1-162142 (AL)

Record details

NPI number1013556356
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 3, 2020
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Evolve Behavioral Health Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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