T'juaniequa Wideman, AGACNP-BC
NPI #1053195982 in Tyler, Texas
Provider Information
- NPI Number
- 1053195982
- Entity Type
- Individual
- Name
- T'juaniequa Wideman, AGACNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- AGACNP-BC
- Enumeration Date
- Aug 22, 2023
- Last Updated
- Sep 22, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
| Nurse Practitioner |
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