Individual
KIMBERLY ALYSSA JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15640 DON LOCHMAN LN, CHARLOTTE, NC 28277-4443
(704) 540-1640
Mailing address
3016 SUDBURY RD, CHARLOTTE, NC 28205-4300
(703) 217-0595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5020351
NC
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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