JUSTIN JETTON

Peer Specialist

Active Individual
NPI: 1376306936

Practice Address

1310 N HEARNE AVE
Shreveport, LA 71107

Phone: (318) 676-5111

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1376306936 is the National Provider Identifier for JUSTIN JETTON, a Peer Specialist provider located in Shreveport, LA. This NPI was enumerated on February 5, 2024.
JUSTIN JETTON practices at 1310 N HEARNE AVE, Shreveport, LA 71107.

Quick Facts

NPI
1376306936
Type
Individual
Enumerated
Feb 5, 2024
Last Updated
Feb 7, 2024

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