Individual
MRS. AMELIA C JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
104 MORRIS CIR, HOMER, LA 71040-2100
(318) 927-6777
(318) 927-6714
Mailing address
104 MORRIS CIR, HOMER, LA 71040-2100
(318) 927-1110
(318) 927-1116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2178
LA
363LF0000X
Family Nurse Practitioner
Primary
AP05936
LA
363LF0000X
Family Nurse Practitioner
RN073583
LA
Other
Enumeration date
08/04/2009
Last updated
12/23/2014
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