Healthcare Provider Details

I. General information

NPI: 1881521268
Provider Name (Legal Business Name): SAXTON T JETTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8350 VIDETTE ST
PITTSBURGH PA
15221-5354
US

IV. Provider business mailing address

8350 VIDETTE ST
PITTSBURGH PA
15221-5354
US

V. Phone/Fax

Practice location:
  • Phone: 724-384-4999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberBD471423
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: