National Provider Identifier
Latoishanai Jeter
Latoishanai Jeter is listed in the NPPES registry with a primary specialty of Multi-Specialty Clinic/Center in Buffalo, NY and a listed phone number of (716) 510-3645.
Profile Overview
- NPI
- 1609751429
- Provider Type
- Individual
- Primary Specialty
- Multi-Specialty Clinic/Center
- Enumeration Date
- August 11, 2025
- Last Updated
- August 11, 2025
Practice Location
- 1515 Kensington Ave
- Buffalo, NY 14215-1436
Phone: (716) 510-3645
Mailing Address
- 236 Roslyn St
- Buffalo, NY 14215-3941
Specialties
- Multi-Specialty Clinic/Center (261QM1300X)
- Case Manager/Care Coordinator (171M00000X)
- Health & Wellness Coach (171400000X)
Full Record
- NPI
- 1609751429
- Entity Type
- Individual
- Last Name
- Jeter
- First Name
- Latoishanai
- Mailing Street Address
- 236 Roslyn St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3941
- Mailing Country
- US
- Mailing Phone
- (716) 510-3645
- Practice Street Address
- 1515 Kensington Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1436
- Practice Country
- US
- Practice Phone
- (716) 510-3645
- Enumeration Date
- August 11, 2025
- Last Updated
- August 11, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Certification Date
- August 10, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Multi-Specialty Clinic/Center (261QM1300X), Case Manager/Care Coordinator (171M00000X), Health & Wellness Coach (171400000X)