Individual
JONATHAN P JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R1052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101279523
VIRGINIA MEDICAL LICENSE
VA
01
—
R1052
TEXAS MEDICAL LICENSE
TX
Enumeration date
06/19/2015
Last updated
05/21/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up