MEDICARE: MS. JESSICA JETER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1336954189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JESSICA JETER

Provider Business Mailing Address
First Line	:	130 LAUDERDALE AVE
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44505-2529
Country	:	US
Telephone Number	:	770-896-8127
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 LAUDERDALE AVE
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44505-2529
Country	:	US
Telephone Number	:	770-896-8127
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	02/10/2025

Similar Medicare Providers

1427986280 — WILENE R YORK
Practice Location Address:

558 PALMER AVE
YOUNGSTOWN, OH
44502-2529

Practice Phone: 330-397-7977
Practice Fax:

1073939633 — MELISSA A NOVITS CNP
Practice Location Address:

4964 BELMONT AVE STE B
YOUNGSTOWN, OH
44505-1001

Practice Phone: 330-539-3200
Practice Fax:

1760310569 — KARLEE LYNN KLUCHAR
Practice Location Address:

4501 BELMONT AVE STE 2
YOUNGSTOWN, OH
44505-1042

Practice Phone: 330-576-8250
Practice Fax:

1942203765 — MR. KENNETH E SMITH CNP
Practice Location Address:

3551 BELMONT AVE STE 19B
YOUNGSTOWN, OH
44505-1439

Practice Phone: 330-222-4030
Practice Fax:

1790780153 — COLONIAL MANOR OPERATING CO., INC.
Practice Location Address:

196 COLONIAL DR
YOUNGSTOWN, OH
44505-2139

Practice Phone: 330-759-8000
Practice Fax: 330-759-4540

1205832318 — KRISHNA DEVULAPALLI M.D.
Practice Location Address:

615 CHURCHILL HUBBARD RD
YOUNGSTOWN, OH
44505-1332

Practice Phone: 330-758-4515
Practice Fax: 330-758-5121

Directions to “ MS. JESSICA JETER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.