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Jevetta Wade
NPI 1225524671 · on the registry since 2018 · sole proprietor
Practice
- Address
- 8828 Balmoral Park Dr
Charlotte, NC 28277 - Phone
- (980) 833-2029
- Fax
- (980) 585-4415
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Also registered as
- 332BC3200X
332BD1200X
332BN1400X
332BP3500X
332BX2000X
343900000X - Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina