Doctor profile · Federal record
Dr. Jennifer Tidwell, CRNP
Nurse Practitioner · Family Nurse Practitioner · Montgomery, AL
- NPI 1205335999
- 8 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
488 Saint Lukes Dr
Montgomery, AL 361177104
(334) 288-7808
fax (334) 288-8089 - Mailing address
-
448 Saint Lukes Dr
Montgomery, AL 361177104
Credentials & registration
- NPI registered
- February 2018 — 8 yrs on file
- Profile last updated
- January 4, 2021
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Alabama #1-129613
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205335999. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $15.58 |
By nature of payment
Frequently asked questions
What is Dr. Jennifer Tidwell's medical specialty?
Dr. Jennifer Tidwell practices Nurse Practitioner in Montgomery, AL.
Where does Dr. Jennifer Tidwell practice?
Dr. Jennifer Tidwell practices at 488 Saint Lukes Dr, Montgomery, AL 361177104. Office phone: 3342887808.
What is Dr. Jennifer Tidwell's NPI?
Dr. Jennifer Tidwell's National Provider Identifier (NPI) is 1205335999, issued by NPPES.