Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICAELA A JETT, MD
Active Sole ProprietorDR. MICAELA A JETT, MD is a Pediatrics healthcare provider located in LAUGHLIN AFB, Texas. NPI 1790831816 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · LAUGHLIN AFB, TX
Registration Details
- NPI Number
- 1790831816
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2007 (19.580198765088 yrs)
- Last Updated
- Feb 11, 2022
- License
-
A112725 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
590 MITCHELL BLVD BLDG 375LAUGHLIN AFB, TX, 788435242Browse TX providers · Browse ZIP 78843
- Phone
- 8302986333
- Primary Specialty
-
Pediatrics
208000000X
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.