Individual
TRESEA M JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2142 SUNSET DR, SAN ANGELO, TX 76904-6829
(325) 245-4211
(325) 245-4044
Mailing address
2142 SUNSET DR, SAN ANGELO, TX 76904-6829
(325) 245-4211
(325) 245-4044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP115327
TX
363LF0000X
Family Nurse Practitioner
AP115327
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP115327
STATE NURSING LICENSE
TX
01
—
F1106013
CERTIFICATION
TX
Enumeration date
05/23/2007
Last updated
09/08/2016
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