Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 35127167 | OH |
N | 207SG0201X | Clinical Genetics (M.D.) | 35127167 | OH |
NPI | 1871568444 |
---|---|
Provider Name | Joanne M. Jeter |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43240-2000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 21/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0142798 | (05) | OH |