Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Robert Dettmer, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407082944

Dr. Jonathan Robert Dettmer, MD is a Student in an Organized Health Care Education/Training Program in Portsmouth, Virginia. Licensed in Nebraska. Registered with an NPI since 2009.

Licensed in
NE
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (757) 953-5269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 25940 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407082944
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2009
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing address620 John Paul Jones Cir, Portsmouth, VA 23708-2111

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