Individual
ANGELA MARIE JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3471 WOOLPER RD, PETERSBURG, KY 41080-9764
(859) 699-2463
Mailing address
3471 WOOLPER RD, PETERSBURG, KY 41080-9764
(859) 699-2463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021010
OH
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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