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NPI Code Detail

MEDICARE: SHAMEIKA JETER

MEDICARE: SHAMEIKA 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1871207480
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMEIKA JETER
Provider Business Mailing Address
First Line : 7373 BROOKCREST DR STE 354
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-3448
Country : US
Telephone Number : 513-802-5642
Fax Number :
Provider Business Practice Location Address
First Line : 7373 BROOKCREST DR STE 354
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-3448
Country : US
Telephone Number : 513-802-5642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2023
Last Update Date : 01/09/2023

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Directions to “ SHAMEIKA JETER ” Practice Location

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