Individual
IBBIE JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4207 S MONROE ST, AMARILLO, TX 79110-2136
(806) 433-9384
Mailing address
4207 S MONROE ST, AMARILLO, TX 79110-2136
(806) 433-9384
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP132836
TX
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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