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

MS. Jennifer Barefoot Tidwell, NP-C

Individual provider Family Nurse Practitioner · NPI 1558970939

MS. Jennifer Barefoot Tidwell, NP-C is a Nurse Practitioner in Winston Salem, North Carolina. Qualified in 2020, 6 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

140 Charlois Blvd
Winston Salem, NC 27103-1522
Phone: (336) 716-4131
Fax: (336) 713-0328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1537 Owen Park Ln, Fayetteville, NC 28304-3454 — (910) 485-8801

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5013567 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F07202295 (NC)

Record details

NPI number1558970939
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJuly 30, 2020
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022

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 Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Winston Salem