Healthcare Provider Details

I. General information

NPI: 1538521133
Provider Name (Legal Business Name): BRITTANY JETER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12141 RICHMOND AVE
HOUSTON TX
77082-2408
US

IV. Provider business mailing address

12515 BARKER CYPRESS RD APT 6201
CYPRESS TX
77429-8585
US

V. Phone/Fax

Practice location:
  • Phone: 614-558-6377
  • Fax:
Mailing address:
  • Phone: 614-558-6377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number986350
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number986350
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number986350
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number986350
License Number StateTX
# 5
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1206786
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1206786
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: