Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN KEITH JETTON
ActiveJUSTIN KEITH JETTON is a Peer Specialist healthcare provider located in SHREVEPORT, Louisiana. NPI 1376306936 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · SHREVEPORT, LA
Registration Details
- NPI Number
- 1376306936
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2024 (2.5461793832364 yrs)
- Last Updated
- Feb 7, 2024
Practice Information
- Address
-
1310 N HEARNE AVESHREVEPORT, LA, 711076516Browse LA providers · Browse ZIP 71107
- Phone
- 3186765111
- Fax
- 3186765137
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| TERRY MCCALLUM | CPRSS/PSS/WRAP | 1295282275 |
| KATE HARRIS | — | 1225580970 |
| DAVID CATO | — | 1669911889 |
| STERICE WHITAKER | — | 1265947857 |
| MRS. NATALIE MORRIS | — | 1821503376 |
| JADE STOGSDILL | — | 1427527928 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.