Individual
LACEE SIMMONS JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HEALTH CIR, LEXINGTON, VA 24450-2448
(540) 458-3213
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024192513
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2024
Last updated
11/10/2025
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