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Individual

CAROL ANN JETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
21134 US HIGHWAY 59, NEW CANEY, TX 77357-8373
(281) 577-8966
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
448594
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159333703
TX
Enumeration date
12/13/2006
Last updated
07/02/2009
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