Laquanza A Jeter
Case Manager/Care Coordinator in Charlotte, NC. Individual provider (NPI-1).
NPI number1669201166
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1669201166
- Entity type
- Individual (NPI-1)
- Name
- Laquanza A Jeter
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2024
- Certification date
- Aug 1, 2024
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 172A00000X | Driver | – | NC | |
| 251G00000X | Hospice Care, Community Based | – | NC |
Practice location
3600 Wilkinson BlvdCharlotte, NC 28208-5539
Phone 704-617-4050 · Fax 704-733-9299
Mailing address
4117 Welling AveCharlotte, NC 28208-2114
Phone 704-712-4096
Other practice locations
4419 Tuckaseegee Rd
Charlotte, NC 28208-2501
Charlotte, NC 28208-2501
Phone 704-617-4050 · Fax 704-733-9299
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