Dr. Emily Shannel Jetter, MD
Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).
NPI number1942002159
StatusActive
Last updated in NPPESJul 24, 2025
Details
- NPI
- 1942002159
- Entity type
- Individual (NPI-1)
- Name
- Dr. Emily Shannel Jetter
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2025
- Certification date
- Jul 24, 2025
- Last updated
- Jul 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
160 E Erie AvePhiladelphia, PA 19134-1011
Phone 215-427-4709
Mailing address
160 E Erie AvePhiladelphia, PA 19134-1011
Phone 215-427-5000
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