LATIFAH QUANAH JETER

CONCORD, NC
NPI1184381659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  JETE-I10SC)
Enumeration Date2021-11-19
Last Update Date2025-09-30
Business Address
LATIFAH QUANAH JETER FNP-C
200 MEDICAL PARK DR STE 550
CONCORD, NC 28025-0947
Phone number: 704-403-1036
Mailing Address
LATIFAH QUANAH JETER FNP-C
3069 LIGHT RIDGE CT SW
CONCORD, NC 28027-8989
Phone number: 704-930-3145