All Medicaid billing entities listing TIDWELL, JESSI (CO- OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Alabama | 1 | $777.59 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | EVOLVE BEHAVIORAL HEALTH, LLC | FLORENCE, AL | Internal Medicine Physician | $777.59 |