Individual provider · Type 1 NPI

Ertha Jeter, NP

Adult Health Nurse Practitioner · Brooklyn, NY

NPI number 1669798583 Active

Practice location

6209 16th Ave
Brooklyn, NY 11204-2702

Mailing address

540 E 22nd St Apt 1B
Brooklyn, NY 11226-7265

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF305339-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1669798583

Ertha Jeter, NP's National Provider Identifier is 1669798583, issued on Apr 16, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 20, 2013.