Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN P JETER, M.D.
ActiveJONATHAN P JETER, M.D. is a Dermatology healthcare provider located in FORT EUSTIS, Virginia. NPI 1689056228 is currently active in the NPPES registry. Verify at CMS.
Dermatology · FORT EUSTIS, VA
Registration Details
- NPI Number
- 1689056228
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2015 (11.173870122892 yrs)
- Last Updated
- Oct 27, 2023
- License
-
R1052 (TX)
Practice Information
- Address
-
576 JEFFERSON AVEFORT EUSTIS, VA, 236041373Browse VA providers · Browse ZIP 23604
- Phone
- 7573147500
- Fax
- 7573147977
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in FORT EUSTIS, VA
| Name | Credential | NPI |
|---|---|---|
| DR. KRISTEN TOREN RAFOLS | M.D. | 1154526226 |
| DR. KNOX J BEASLEY | M.D. | 1629364112 |
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.