KRISTIE MICHELLE JETTER

TAMPA, FL
NPI1750624805
Former NameKRISTIE MICHELLE GILL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: FL  ME130758)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-03-27
Last Update Date2023-05-11
Business Address
Dr. KRISTIE MICHELLE JETTER M.D.
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-272-2244
Mailing Address
Dr. KRISTIE MICHELLE JETTER M.D.
12901 BRUCE B DOWNS BLVD MDC 41
TAMPA, FL 33612-4742
Phone number: 813-844-7412