P Praxis·MD
● Active Type 1 · Individual

T'Juaniequa Wideman, AGACNP-BC

Nurse Practitioner·Tyler, TX· NPI 1053195982 · Enumerated 2023 · 2 years on NPI
Wideman is 1 of 147 nurse practitioner providers in Tyler and 1 of 5264 in Texas.
NPI age
2 years
Enumerated 2023-08-22
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5264 active nurse practitioner providers in Texas.

NPI age
2 years
↓ 6 yr below median (8 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-08Enumerated in NPPES
2023 2026

Where they practice

Practice location
800 E Dawson St
Tyler, TX 757012036
📞 9035938441
Mailing address
1309 S Azalea Dr
Tyler, TX 757015222
📞 9035204873

Additional practice locations

1 secondary location on file with NPPES.

Location 2
703 S Fleishel Ave Ste 4000
Tyler, TX 757012015
📞 9036067000

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    TX license #1115976 taxonomy 363L00000X
  • Nurse Practitioner
    Definition to come...
    TX license #1115976 taxonomy 363LG0600X

Practice context

Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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