Individual
GEORGETTE JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
207 SCOTTSDALE BLVD, LOUISVILLE, KY 40214-4742
(859) 494-2646
Mailing address
207 SCOTTSDALE BLVD, LOUISVILLE, KY 40214-4742
(859) 494-2646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4045248
KY
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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