Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 0024131354 | VA |
NPI | 1174704506 |
---|---|
Provider Name | Michelle Jeter |
First Address | Richmond, VA 23226-2659 |
Second Address | Richmond, VA 23226-2659 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2007 |
Last Update Date | 14/11/2007 |