Individual
BRITTNEY M JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4437 LINCOLN HWY, MATTESON, IL 60443-2317
(309) 533-3966
(309) 882-0065
Mailing address
4437 LINCOLN HWY, MATTESON, IL 60443-2317
(309) 533-3966
(309) 882-0065
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.109110
IL
251J00000X
Nursing Care Agency
043.109110
IL
Other
Enumeration date
05/29/2024
Last updated
12/08/2024
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