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

Nidish Jose, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1104348903

Nidish Jose, AGNP-C is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2016, 10 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2017
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Practice location Address checks out

3044 Hidden Valley Dr
Fort Worth, TX 76177-2716
Phone: (469) 844-7072
Fax: (817) 697-4580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2700 Tibbets Dr Ste 300, Bedford, TX 76022-5938 — (817) 484-0233

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 789098 (TX)

Record details

NPI number1104348903
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJuly 13, 2017
Last updated in NPPESJuly 30, 2021
Certification dateJuly 30, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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