Individual
DR. JOSHUA JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE STREET, JACKSON, MS 39216-4500
(601) 815-2869
(601) 815-9356
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
24668
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00704858
—
MS
Enumeration date
06/10/2014
Last updated
08/25/2017
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