T'Juaniequa Wideman is one of 637 nurse practitioners practicing in Tyler, Texas .
T'Juaniequa Wideman practices with Christus Trinity Clinic and North Texas Physician Services, PLLC.
Registry record (NPPES)
NPI
1053195982
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner · 363L00000X
Address on file
800 E Dawson St
Enumerated
Aug 22, 2023
Record last updated
Sep 22, 2023
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
620 S Fleishel Ave Christus Trinity ClinicTyler , TX 75701
630 S Fleishel AveTyler , TX 75701
800 E Dawson St Christus Trinity ClinicTyler , TX 75701
2026 S Jackson StJacksonville , TX 75766
More nurse practitioners in Tyler
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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