GRACE EMMA TIDWELL - NPI 1972332187 - Student in an Organized Health Care Education/Training Program in Little Rock, AR

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Grace Emma Tidwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE EMMA TIDWELL (NPI 1972332187) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1972332187

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameGRACE EMMA TIDWELL

Location Address4301 W MARKHAM STLittle Rock, AR 72205-7199

Mailing Address4301 W Markham StLittle Rock, AR 72205-7101 · (870) 818-5703

Phone(501) 686-8000

Sole ProprietorNo

Enumeration DateJuly 29, 2024

Last NPPES UpdateApril 15, 20262 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1972332187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4301 W MARKHAM ST, Little Rock, AR 72205

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